Emergency Cases Northwest Group

028 Bad Food Guide

Situation

Patient had supra pubic pain and vomiting: it was an MI.

Background

An elderly lady had eaten “something rotten” and then developed lower abdominal pain and vomiting through the night. She had an NSTEMI 6 weeks earlier. Obs, ecg and exam were unremarkable. Troponin added on: was 22000, treated as another MI.

Assessment

Despite no chest pain she was having a significant MI. [Not gastroenteritis] We know that some groups such as elderly women and diabetics can suffer an MI with little or no actual chest pain.

Recommendation

In these patient groups if you can’t find a cause of them feeling unwell, consider ACS even without chest pain.

In this case she’d had a recent MI which raised suspicions further.



PLEASE DO NOT INCLUDE ANY PATIENT IDENTIFIABLE DATA OR GEO-LOCATION DATA IN THE SUBMISSION OR IN ANY ATTACHED IMAGES

Emergency Cases Northwest Group