08-04-2006, 10:46 AM
A 77yr w woman comes to the doc because of a 2day history of cramping abdominal pain and distention accompanied W nausea and vomiting She is
otherwise healthy and has no history of abdominal operations Her temper|re is 37.4 C (99.4 F). blood pressure is 110/86 mm Hg pulse is 112/min and respirations
24/min Cardiopulmonary examining shows no abnormalities. F.xamin|on ofthe abdomen shows distention and mild diffuse tenlemess'. bowel sounds are high
pitched. An xray ofthe abdomen shows air-fluid levels thruout small bowel and air in the liver there is no gas in the colon or free air. which ofthe falling i
the most like: diagnosis?
A) adhesion small bowel obstruction
B) Cecal cancer
C) Gallstone ileum
D) intussusception
E) mesenteric infarction
F) Ruptured appendicitis
G) Small bowel lymphoma
otherwise healthy and has no history of abdominal operations Her temper|re is 37.4 C (99.4 F). blood pressure is 110/86 mm Hg pulse is 112/min and respirations
24/min Cardiopulmonary examining shows no abnormalities. F.xamin|on ofthe abdomen shows distention and mild diffuse tenlemess'. bowel sounds are high
pitched. An xray ofthe abdomen shows air-fluid levels thruout small bowel and air in the liver there is no gas in the colon or free air. which ofthe falling i
the most like: diagnosis?
A) adhesion small bowel obstruction
B) Cecal cancer
C) Gallstone ileum
D) intussusception
E) mesenteric infarction
F) Ruptured appendicitis
G) Small bowel lymphoma