Jake Merkel

Emergency Department

A 43-year-old man presents with acute severe epigastric pain that started yesterday evening, radiates to his back, is partially relieved by leaning forward, and is associated with nausea and vomiting. He has a long history of heavy alcohol use.

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Data Gathering

Take a comprehensive history, perform examinations, and order investigations.

Clinical Reasoning

Formulate a diagnosis, consider differentials, and synthesise evidence.

Clinical Decision Making

Explain your diagnosis, recommend treatment, and arrange follow-up.

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