Male, 29 year old, was admitted to emergency department due with abdominal pain for 2 days. The patient had a sudden attack of total abdominal pain 2 days ago, especially in the right lower abdomen. It was paroxysmal colic, accompanied by intestinal ringing, and he vomited many times. The vomit turned from a green color to a fecal odor. In the past two days, he did not eat or drink with no flatus and defecation, and had little urine and no fever. He had an appendectomy three years ago. Physical examination: acute appearance, clear mind, BP 100/60mmHg, P 132/min, t 37.5 °C, no yellow dye, dry skin, poor elasticity. The heart and lungs are normal. The abdomen is distended, no intestinal type is found, the whole abdomen is soft by palpation, there is extensive slight tenderness, no rebound pain, no mass is touched, the liver and spleen are not enlarged, the bowel sounds are high. Auxiliary examination: HB 160g/L, WBC 10.6 × 10%/L, negative urine routine test. X-ray showed multiple fluid planes. Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination, and treatment principles.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Male, 29 year old,
old,
admitted to emergency
department due with abdominal pain for 2 days.
The patient had a sudden attack of total abdominal pain 2
days ago, especially in the right lower abdomen. It was
paroxysmal colic, accompanied by intestinal ringing, and
he vomited many times. The vomit turned from a green
color to a fecal odor. In the past two days, he did not eat
or drink with no flatus and defecation, and had little
urine and no fever. He had an appendectomy three years
ago.
Physical examination: acute appearance, clear mind, BP
100/60mmHg, P 132/min, t 37.5 °C, no yellow dye, dry
skin, poor elasticity. The heart and lungs are normal. The
abdomen is distended, no intestinal type is found, the
whole abdomen is soft by palpation, there is extensive
slight tenderness, no rebound pain, no mass is touched,
the liver and spleen are not enlarged, the bowel sounds
are high.
was
was
Auxiliary examination: HB 160g/L, WBC 10.6 × 10%L,
negative urine routine test. X-ray showed multiple fluid
planes.
Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination,
and treatment principles.
Transcribed Image Text:Male, 29 year old, old, admitted to emergency department due with abdominal pain for 2 days. The patient had a sudden attack of total abdominal pain 2 days ago, especially in the right lower abdomen. It was paroxysmal colic, accompanied by intestinal ringing, and he vomited many times. The vomit turned from a green color to a fecal odor. In the past two days, he did not eat or drink with no flatus and defecation, and had little urine and no fever. He had an appendectomy three years ago. Physical examination: acute appearance, clear mind, BP 100/60mmHg, P 132/min, t 37.5 °C, no yellow dye, dry skin, poor elasticity. The heart and lungs are normal. The abdomen is distended, no intestinal type is found, the whole abdomen is soft by palpation, there is extensive slight tenderness, no rebound pain, no mass is touched, the liver and spleen are not enlarged, the bowel sounds are high. was was Auxiliary examination: HB 160g/L, WBC 10.6 × 10%L, negative urine routine test. X-ray showed multiple fluid planes. Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination, and treatment principles.
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