Published: 29 September 2014
Author(s): Shing Ching, Ka Hing Lee, Kai Ming Li
Section: Internal Medicine Flashcard

A 68-year-old man with history of hypertension presented with 1day of epigastric pain, vomiting and chills. Physical examination was notable for a febrile, toxic-looking patient in distress; there was epigastric tenderness and guarding. Per rectal exam found guaiac-negative stool. A sitting chest X-ray was taken (Fig. 1).


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