A 26 year old woman describes sudden severe left iliac fossa pain late in the evening prior to presentation. On the morning of presentation she complained of bilateral shoulder tip pain and had a presyncopal episode on standing up. She is not pregnant.
A 22 year old male presents 1 week post football injury to his left upper quadrant. He complains of abdominal pain, presyncope on standing and is pale and tachycardic although maintaining a normal blood pressure.