Frank, a 65-year-old gentleman, is brought to your clinic by his wife, Edna. Edna reports that Frank has complained of abdominal pain, nausea and vomiting for 24 hours.

Edna is concerned that something is not right with her usually stoic husband.

Frank idly comments that he’s probably had a ‘few too many’ in recent days and should cut down on his alcohol intake. Frank is normally independent and self-caring, using a single-point-stick when mobilising outdoors.

He has a history of hypertension, hypercholesterolaemia, left-knee osteoarthritis and type 2 diabetes, managed by diet and exercise.