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

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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: 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 Which of the following is the most likely diagnosis?

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Definitions:

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A condition where the mucous membranes become dehydrated, leading to discomfort, and is often a sign of dehydration or other health issues.

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A day with high temperature, often causing discomfort and necessitating measures to cool down.

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