Q16) A 75 year old gentleman with arthritis of both hips has sudden severe back pain which is not relieved by pain killers. He is passing stools and flatus .On examination he has BP of 100/60 and pulse of 110/min.
What is the most likely diagnosis?
a) Acute pancreatitis
b) Aortic Aneurysm
c) Gastritis
d) Myocardial infarction
Answer
16) b
At this age 75 years, aortic aneurysm is common. Gastritis and Pancreatitis present at an earlier age group. Sudden severe pain can be sign of impending perforation and requires early CT Scan to see the size of aneurysm.
Contained leak is often seen in these cases.