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A 15-Year-Old Boy Is Brought to the Emergency Department Due

question 486

Multiple Choice

A 15-year-old boy is brought to the emergency department due to abdominal pain that started approximately 24 hours ago and is described as diffuse, severe, and stabbing. The pain is associated with frequent bilious emesis, and he is unable to tolerate any oral intake. The patient's last bowel movement was over 24 hours ago, and he is passing minimal flatus. He has had nausea, anorexia, and intermittent abdominal pain for the last 6 months. The patient has never required surgery. His family emigrated from Indonesia 4 weeks ago. Temperature is 37.6 C (99.7 F) , blood pressure is 112/78 mm Hg, pulse is 110/min, and respirations are 12/min. Mucous membranes are pale and dry. Heart and lung sounds are unremarkable aside from tachycardia. The abdomen is diffusely tender and distended without rebound or involuntary guarding. Bowel sounds are high-pitched and loud. Laboratory results are as follows: An abdominal x-ray shows small bowel dilation and air-fluid levels without pneumobilia. Which of the following is the most likely etiology of this patient's presentation?

Definitions:

Rescission

The legal nullification of a contract, returning all parties involved to their original positions before the contract was made.

Breach of Duty

Failure to meet a standard of care legally owed to someone, resulting in harm or damage.

Negotiation

The process by which parties discuss and arrive at a mutually acceptable agreement.

Transferee

A person or entity that receives property, rights, or interest from another through a legal transfer process.