A 65-year-old man presents as a emergency with a sudden onset tender mass in the left lower quadrant. His past medical history includes valve replacement for rheumatic heart disease and he takes regular warfarin. He has also recently been on a course of erythromycin for a chest infection as he has a penicillin allergy. On examination there is a tender mass to the left of the midline which appears to become more prominent on lifting the patients head from the bed. Investigations show: Haemoglobin 8.9 g/dL (12-16) INR 7.2 (
Posted on: Mon, 15 Dec 2014 16:46:22 +0000
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