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Exam questionKROK 2Medicine ยท 2021

A 43-year-old woman complains of persistent stomachache with recurrent pain attacks, nausea, repeated vomiting with stagnant bowel content, abdominal distension, and flatulence. She has been presenting with these signs for 7 hours. Pulse is 116/min. The tongue is dry and brown. The abdomen is symmetrically distended, soft, painful. Percussion reveals tympanitis. On auscultation there are bowel sounds with metallic overtone, splashing, and dripping. Make the diagnosis?

Answer options

  1. Acute destructive cholecystitis
  2. Acute intestinal obstruction
  3. Acute nonspecific colitis
  4. Acute necrotizing pancreatitis
  5. Acute erosive gastritis
Correct answer

Acute intestinal obstruction

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