Case 3
A 48-year-old type I diabetic lady presents with a 6-hour history of vague upper abdominal pain associated with nausea. Observations are within normal limits; however, she looks unwell, pale, and clammy. Her abdomen is soft.
You organise some baseline investigations including laboratory bloods (FBC, UEs, LFTs, CRP, calcium, amylase) and a urine dipstick.
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Question 1 of 2
1. Question
In addition to bloods and urine dipstick, which two other investigations are of greatest importance in the initial assessment of this patient?
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Question 2 of 2
2. Question
Results of investigations are as follows:
- Urinalysis – protein+, leukocytes+, ketones+
- Blood glucose – 12.4 mmol/L
- Laboratory bloods – WCC 11.5 x109/L, CRP 14 mg/L, amylase 90 U/L
- Erect chest X-ray – clear lung fields, some basal atelectasis, no evidence of pneumoperitoneum
The following ECG:
What is the diagnosis?
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