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Exam questionKROK 2Medicine ยท 2025

A 42-year-old patient complains of acute spastic abdominal pain, nausea, vomiting with intestinal contents, abdominal distension that decreases alter vomiting, and gas retention.According to the patient's history, the disease onset was 4 hours ago. Objectively, the following is observed: pulse - 110/min, the tongue is dry and coated, the abdomen is asymmetrically distended - enlarged upper half, soft to palpation, painful. Auscultation detects active peristaltic sounds with metallic tinkling. splashing, and gurgling. What is the most likely diagnosis in this case?

Answer options

  1. Perforated stomach ulcer
  2. Nonspecific ulcerative colitis
  3. Acute pancreatitis
  4. Acute cholecystitis
  5. Intestinal obstruction
Correct answer

Intestinal obstruction

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