A 37-Year-Old Man Comes to the Emergency Department Due to 2

question 314

Multiple Choice

A 37-year-old man comes to the emergency department due to 2 days of progressive, colicky abdominal pain, abdominal distension, nausea, and vomiting.  He had a similar episode 2 years ago that resolved spontaneously and did not require medical attention.  He has no chronic medical conditions.  Temperature is 36.8 C (98.2 F) , blood pressure is 122/80 mm Hg, and pulse is 92/min.  The abdomen is distended and tender without rigidity or guarding.  Abdominal x-ray is shown in the image below: Which of the following is the most likely diagnosis?

• A)Cecal volvulus
• B)Gastric outlet obstruction
• C)Ileocolic intussusception
• D)Paralytic ileus
• E)Toxic megacolon

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Definitions:

Preliminary Treatment

Initial steps or procedures done to prepare for the main treatment, often involving assessment and planning.

Nonnegotiable Guidelines

Nonnegotiable guidelines are strict rules or principles that must be followed without exceptions.

Consensus

A general agreement reached by a group, where the members mutually consent to a decision.

Self-Disclosure

The process of revealing personal information, thoughts, or feelings to others, which can foster trust and rapport in relationships.