A 57-year-old man with a history of atrial fibrillation presented to the Emergency
Department with a 1-day history of diffuse abdominal pain associated with several
liquid non-bloody stools. Initial vital signs were temperature 38.1°C, heart rate
131 beats/min, blood pressure 111/77 mm Hg, respiratory rate 27 breaths/min, and SpO2 97%. Physical examination revealed tachycardia with an irregularly irregular rhythm
and diffuse abdominal tenderness with guarding. Electrocardiography demonstrated atrial
fibrillation with rapid ventricular response.
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Article info
Publication history
Published online: February 08, 2011
Accepted:
November 3,
2010
Received in revised form:
June 25,
2010
Received:
April 14,
2010
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.