Sepsis [top]

  • Pre-hepatic jaundice or hepatic jaundice
  • Fever, hypotension, tachycardia

Aortic dissection [top]

  • Central chest pain
  • Sudden onset
  • Tearing character
  • Radiation to back between shoulder blades
  • Unequal peripheral pulses
  • Hypotension
  • Wide mediastinum on chest X ray

Oesophageal varices [top]

  • Severe haematemesis, melaena
  • Hypotension, tachycardia
  • Signs of decompensated liver diseaseHistory of excessive alcohol consumption or chronic liver disease

Anaphylaxis [top]

  • Sudden onset (minutes)
  • Shortness of breath
  • Wheeze
  • Facial swelling, tongue swelling
  • Urticaria
  • Hypotension and tachycardia
  • Vomiting

Mesenteric artery ischaemia [top]

  • Central abdominal pain
  • Lactic acidosis
  • Vomiting, diarrhoea
  • Hypotension, tachycardia

Dissecting abdominal aortic aneurysm [top]

  • Tearing central abdominal pain
  • Hypotension, tachycardia
  • Pulsatile abdominal mass