Exam questionKROK 2Medicine ยท 2024
A 50-year-old woman complains of acute pain in the epigastric region, vomiting, and sudden general weakness. The disease onset was 2 days ago. Objectively, she has pale skin and dry tongue. Pulse 100/min., of poor volume, blood pressure 110/70 mm Hg. During palpation, the abdomen is soft, moderately painful in the epigastrium and mesogastrium, there are no signs of peritoneal irritation. Peristalsis is significantly increased in the mesogastrium on the left. X-ray detected Kloiber bowls (air-fluid levels) on the left. What is the most likely diagnosis in this case?
Answer options
- Food poisoning
- Acute pancreatitis
- Intestinal obstruction
- Perforated duodenal ulcer
- Acute cholecystitis
Correct answer
Intestinal obstruction
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