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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

  1. Perforated gastric ulcer
  2. Acute myocardial infarction
  3. Thrombosis of mesenteric vessels
  4. Acute pancreatitis
  5. 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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