A 60-year-old man attends A&E complaining of acute onset abdominal pain radiating to the back. He has a past medical history of hypertension and hypercholesterolaemia. His BP is 80/50 and heart rate is 130 regular. On examination, you notice bilateral bruising in the flanks.

Please list the most likely diagnosis and three further differential diagnoses? (4 marks)

List three risk factors for developing this condition. (3 marks)

List two radiological investigations that can be used to assess this condition. (3 marks)

This gentleman is tall and thin and you notice he has long, thin fingers. What underlying diagnosis do you suspect? (1 mark)