Case 2

A 55-year-old male presents with acute severe abdominal pain with vomiting and fever. There is generalised peritonism on exam. His observations are T 38.1oc, HR 92, BP 164/98, RR 22, SO2 97%.

Which one of the following imaging modalities is the investigation of choice for patients with acute abdominal pain with a suspected surgical pathology?

You arrange an urgent CT scan from the ED after discussion with the on-call radiology service and organise the patient’s immediate treatment. He is normally fit and well on the whole although he takes ramipril for his blood pressure and lansoprazole for gastro-oesophageal reflux.

Which of the following are appropriate ED treatments for this patient? (Select all that apply)