Ouchy, my stomach! SAQ added anonymously 

 
This SAQ is worth 19 marks

A 70 year old woman is referred to the emergency department with abdominal pain and vomiting for the last 24 hours.

Her vital signs are:
BP 95/50 mmHg
HR 95 beats/min
RR 28 /min
Temperature 37.2 C

View attached:  Attachment 1  Attachment 2

Question 1.
What is the diagnosis based on this X-ray? List three (3) radiological features that support your diagnosis.
(4 marks)

Diagnosis: ______________________________________________________________________

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. ___________________________________________________________________________.___



Question 1.
List three (3) risk factors that predispose to this condition. (3 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________



Question 1.
List three (3) possible complications of this condition. (3 marks)


1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________



Question 1.
Complete the following table which lists your three (3) management tasks and provide two (2) points to explain how and why you would achieve each of them.
(9 marks)

   Management tasks Method and rational for achievement
1

1.
2.
2

1.
2.
3

1.
2.



 
This SAQ is worth 19 marks

A 70 year old woman is referred to the emergency department with abdominal pain and vomiting for the last 24 hours.

Her vital signs are:
BP 95/50 mmHg
HR 95 beats/min
RR 28 /min
Temperature 37.2 C

Question 1.
What is the diagnosis based on this X-ray? List three (3) radiological features that support your diagnosis.
(4 marks)

All candidates recognised the sigmoid volvulus, although most did not describe well the radiological features typical of sigmoid volvulus.

Most candidates did not know many of the predisposing risk factors.

Most candidates gave adequate responses; few gave high level answers.

Question 1.
List three (3) risk factors that predispose to this condition. (3 marks)



Question 1.
List three (3) possible complications of this condition. (3 marks)



Question 1.
Complete the following table which lists your three (3) management tasks and provide two (2) points to explain how and why you would achieve each of them.
(9 marks)




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abdomen   abdominal   xray   x-ray      ACEM_2015.1