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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

  1. Food poisoning
  2. Acute pancreatitis
  3. Intestinal obstruction
  4. Perforated duodenal ulcer
  5. Acute cholecystitis
Correct answer

Intestinal obstruction

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