Shock

A 79 year old female presents with central abdominal pain radiating through to the back. Background history of hypertension, treated with nifedipne 20 mg bid and enalapril 10 mg daily. She is cold and clammy. ECG normal. Pulse 100. Blood Pressure 100/60. Femoral pulses impalpable. Catheterized: only 10 ml of urine in the bladder. Hemoglobin 6.0.

Copyright 2002 All rights reserved