01-20-2007, 01:53 AM
61. A 70-year-old man with a history of atrial fibrillation has excruciating abdominal pain. Findings on physical examination include abdominal distention and tenderness. Laboratory findings include:
Hemoglobin level 17.5 g/dL
White blood cell count 35,000/mm3
Serum amylase level 800 U/L
The most likely diagnosis is:
a. Acute diverticulitis
b. Perforated duodenal ulcer
c. Acute mesenteric embolus
d. Ruptured aortic aneurysm
e. acute pancreatitis
Hemoglobin level 17.5 g/dL
White blood cell count 35,000/mm3
Serum amylase level 800 U/L
The most likely diagnosis is:
a. Acute diverticulitis
b. Perforated duodenal ulcer
c. Acute mesenteric embolus
d. Ruptured aortic aneurysm
e. acute pancreatitis