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06 / General Surgery · clerkship

Vomiting and distension

  1. ED
  2. Consult
  3. Investigations
  4. OR
  5. Ward
  6. Debrief

Emergency Department

The abdomen is distended and tympanic with high-pitched, tinkling bowel sounds. An old midline scar runs below the umbilicus. No hernias palpable.

Colicky pain, bilious vomiting, distension, absolute constipation, and a previous laparotomy, what leads the differential, and why?

SurgSpace TutorContext-aware, and it will not spoil the case.