(BMJ)—A 37-yo plumber w/ hx of heavy alcohol use presented w/ abdominal pain w/ nausea, vomiting, and constipation of 4 days’ duration. Exam: HR 120, BP 110/80, respiratory rate 24. Abdomen: distended; ecchymosis on L flank, R inguinoscrotal area, bilateral calves. Labs: platelets 1.73×109/L; INR 1.4; lipase 391 U/L. CT confirmed the dx. What is it?
Acute pancreatitis
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Ruptured abdominal aortic aneurysm
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Disseminated intravascular coagulation
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Perforated duodenal ulcer
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Multisystem trauma
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