Approach to periumbilical and lower abdominal pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 68-year-old man presents to the emergency department with a 6-hour history of severe lower abdominal pain. The patient also reports fever and chills. His past medical history is significant for hypertension and type 2 diabetes mellitus. His BMI is 31 kg/m². His temperature is 38.5°C (101.3°F), blood pressure is 145/90 mm Hg, pulse is 110/min, respiratory rate is 22/min, and oxygen saturation is 98% on room air. On physical examination, the patient appears to be in distress. Abdominal examination reveals distention. Which of the following additional findings would indicate the need for an emergent surgical consultation?

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History of recent antibiotic use

Absence of recent bowel movements

Bloody diarrhea

Rebound tenderness, guarding, and rigidity of the abdomen

Positive psoas sign