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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S29_F2.jpg"}},{"insert":"\n\nArriving at the ED, you are taken to see a middle-aged man.\n\nLucas is a 56-year-old widowed college professor. His daughter, who lives separately, called emergency services around 20 minutes ago, after visiting his house and finding him writhing on the ground in pain, clutching his abdomen.\n\nWhen emergency services arrived, they noted bloodstains around his mouth, on the front of his shirt, and on the ground nearby. His pulse was 116 bpm, blood pressure was 90\/55 mmHg, respiratory rate was 36\/min, and GCS was 14\/15 (M5-V5-E4).\n"}]}