A 51-year-old man is brought to the emergency room because of severe abdominal pain which is radiating to his back. Today, the patient had many episod

Subject
Medicine
System
Endocrine, Diabetes & Metabolism

Joyce

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Aug 5, 2020
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Singapore
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A 51-year-old man is brought to the emergency room because of severe abdominal pain which is radiating to his back. Today, the patient had many episodes of vomiting. He is an alcoholic, drinking daily but he does not smoke or take any recreational drugs. On physical examination, the patient is lying down in the fetal position and appearing to be ill and febrile. There is also an area of bluish periumbilical discoloration on the skin of his abdomen. However, there is no flank discoloration. There are also reduced bowel sounds and he is having severe mid epigastric tenderness upon palpitation. The rectal examination is normal.

What is your primary diagnosis?


A- Appendicitis
B- Pyelonephritis
C- Necrotizing pancreatitis
D- Acute cholecystitis