Q:

A 78 year old gentleman suddenly collapsed. His heart rate 120bpm, BP 70/40mmHg. Examination: pulsatile mass in abdomen. What is the most appropriate diagnosis?

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A 78 year old gentleman suddenly collapsed. His heart rate 120bpm, BP 70/40mmHg. Examination: pulsatile mass in abdomen. What is the most appropriate diagnosis?


  1. Aortic aneurysm
  2. Mesenteric cyst
  3. Umbilical hernia

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The key is A. Aortic aneurism. [There is features of shock with pulse 120bpm and BP 70/40mmHg and sudden collapse of the patient with pulsatile mass in abdomen makes the likely diagnosis of ruptured aortic aneurism].

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