(Solved): A patient in his 70 presents to the emergency department with a 1-day history of intermittent epig ...

A patient in his 70 presents to the emergency department with a 1-day history of intermittent epigastric abdominal pain that radiates into his back. The patient had abdominal surgery one month ago. The patient reports that the pain has beci increasing in severity over the past few hours; he vomited after lunch, which led him to seek medical help. The patient has a history or hypertension that is being controlled with metoprolol. He has not experienced fever, diarthoea, of other symptoms associated with his abdominal pain. Assessment: V.S are normal except for low bleod pressure of $$90.60\mathrm{mpiHg}$$; his puise raite $$(87$$. bpm $$)$$ is within the normal range and he has no fever. On physical examination, the patient's abdomen is tender in the epigastric area with guarding but without mass or rebound. The ultrasound shows fluid-filled dilated loops of bowel. 28. The patient potential diagnosis is a. Bowel obstruction (5. Liver failure c. Renal failure d. COPD 29. The usual diagnostic test of choice for this case is a. CT with IV contrast only. $$X$$ b. $$CT$$ with oral contrast c. Biopsy d. Electrocardiogram (ECG) $$x$$ 30. A nurse is examining a patient who is admitted with right upper quadrant tendernes she may think that this is an indication of a problem in the: a. Liver and stomach b. Sigmoid colon, spleen, or rectum c. Liver, pancreas, or ascending colon d. Appendix or ileocecal valve 31. The pancreas of an adult is located a. Below the diaphragm and below right costal margin b. High and deep under the diaphragm - can't be palpated $$x$$ c) Deep in the upper adbomen and is normally not palpable d. Posterior to the left mid axillary line and posterior to the stomach