Exam questionKROK 2Medicine ยท 2014
A 44-year-old male patient complains of severe non-localized abdominal pain, pain in the right shoulder girdle, repeated vomiting, red urine. The onset of the disease is associated with alcohol consumption. The face is hyperemic. AP- 70/40 mm Hg. Abdominal radiography reveals no pathological shadows. Hemodiastase is 54 mg/h/l. Prothrombin is 46%. What is the provisional diagnosis?
Answer options
- Perforated gastric ulcer
- Acute myocardial infarction
- Thrombosis of mesenteric vessels
- Acute pancreatitis
- Aneurysm of the abdominal aorta
Correct answer
Acute pancreatitis
Explanation
A 44-year-old male patient complains of severe non-localized abdominal pain, pain in the right shoulder girdle, repeated vomiting, red urine. The onset of the disease is associated with alcohol consumption. The face is hyperemic. AP- 70/40 mm Hg. Abdominal radiography reveals no pathological shadows. Hemodiastase is 54 mg/h/l. Prothrombin is 46%. What is the provisional diagnosis? Acute pancreatitis is associated with alcohol consumption.
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