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As the A&E SHO you review a 37 year old gentleman in majors. He is originally from Nigeria but has lived in the UK for the past eight years. He is normally fit and well but has been under the weather for the past month. He feels generally weak, complains of low appetite, crampy abdominal pain and feeling shivery. He has had intermittent diarrhoea.
On examination he appears dehydrated. His chest is clear, abdomen soft and mildly tender centrally. There is no rebound tenderness or guarding. BP 110/60mmHg, pulse 110bpm (feels regular), RR 16rpm, SpO2 98% RA and temp 38.1oC.
A full septic screen is performed and after discussion with the A&E registrar admission is felt to be needed.
- Is there anything further you’d like to focus on the history and examination?
- Please list baseline blood tests that may be useful in this case (imagine you’re in A&E or seeing the patient front line)
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