A 55-year-old male complains of gradually increasing lower abdominal pain of 3 days‟ duration. His appetite has decreased and he has passed a single l

Subject
Medicine
System
Gastrointestinal & Nutrition

DianaZ

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Aug 24, 2020
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A 55-year-old male complains of gradually increasing lower abdominal pain of 3 days‟ duration. His appetite has decreased and he has passed a single loose stool that was nonbloody. A physical examination is significant for sharp pain in the lower left quadrant with a minimal amount of rebound tenderness. His temperature is 37.4?C (99.3?F) and his WBC count is 12,800/mm3 (N 5500-10,500). A urinalysis is normal, as is an upright abdominal radiograph.

Which one of the following is the most likely diagnosis‟


a) Acute appendicitis
b) Bacterial enterocolitis
c) Diverticulitis
d) Meckel‟s diverticulum
e) Perforated viscus
 
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