ABSTRACT
A 45-year-old man was admitted with chest and abdominal pain. The pain had started gradually 12 hours earlier and had worsened throughout the day. The pain was located around the centre of his chest and upper abdomen and was described as constant and crushing in nature, radiating through to his back. At worst the pain was 8/10 in severity and associated with nausea. He described identical symptoms with previous episodes of pancreatitis. His past history also included hypertension and ischaemic heart disease. He took 25 mg atenolol OD, 2.5 mg ramipril OD, 75 mg aspirin OD, 40 mg simvastatin ON and 20 mg omeprazole OD. He lived alone, drank 280 units of alcohol weekly and was a smoker with a 40 pack year history.
