Mr. S, a 36-year-old man was referred from a private hospital with severe generalized abdominal pain of 6 hours duration

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Mr. S, a 36-year-old man was referred from a private hospital
with severe generalized abdominal pain of 6 hours duration and
profuse vomiting. His significance past surgical history is
laparoscopic cholecystectomy few years ago for cholelithiasis and
open appendicectomy 2 years prior. He had a similar attack one year
previously and was thought to have diverticulitis but it appeared
to resolve with antibiotics and he was not followed up.
On examination:
•
Blood pressure: 124/76 mmHg,
•
Pulse: 104 per min. and regular,
•
Respirations: 26 per min,
•
Temperature: 38 ºC.
Abdominal examination reveals generalized guarding and
tenderness all over the abdomen, and bowel sound absent.
Use clinical pathway to discuss the management of Mr.
S.
Discuss the benefits of clinical pathways to the
patient.
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