Colonic volvulus 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 76-year-old man who resides in a nursing home is brought by ambulance to the emergency department with a three-day history of abdominal pain. The pain is severe and located in the lower abdomen. His last bowel movement was four days ago. He has a history of chronic constipation for which he regularly takes colace. Temperature is 37.2°C (99.1°F), pulse is 93/min, and blood pressure is 126/87 mmHg. Abdominal examination shows a distended diffusely tender tympanitic abdomen with hyperactive bowel sounds without rebound or guarding. Digital rectal exam is unremarkable. Abdominal x-ray shows a coffee bean sign in the right upper quadrant and multiple air-fluid levels. Abdominal CT scan shows a whirl sign and a bird-beak sign. Which of the following is the best next step in management?  

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