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 You chose to prescribe oral analgesia and discharge the patient with dietary advice!

Near miss! you decide to prescribe pain relief (naproxen 250mg TDS and co-codamol 30/500mg) and dietary advice.

As you are about send the request to your supervisor; you remember that you noted a positive finding on abdominal examination.

Unsure of its significance, you realise you should revisit the patient's case and discuss this with your supervisor.