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Short Answer Questions for ED Fellowship Study

Case: Mesenteric ischemia

A 78-year-old male presents with 16 hours of severe colicky abdominal pain and diarrhoea. Following your initial assessment, you are concerned he has mesenteric ischaemia.

1. List (4) historical features and (4) examination features that would be strongly suggestive of the diagnosis 8 marks

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His blood results and VBG show a WCC of 16,000 with a pH of 7.25, HC03 15, Lactate 5. You decide to order an abdominal X-ray whilst waiting for the CT scanner.

2. List (4) findings that may be present 4 marks

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He subsequently undergoes a CT angiogram which confirms acute arterial ischaemia.

3. Outline your immediate management priorities in the ED 6 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.