Small bowel obstruction (SBO): The Daily PANCE Blueprint
A 52-year-old female with a history of previous abdominal surgeries presents the ER with nausea, emesis, abdominal pain, and inability to pass gas. On physical exam, you notice abdominal distention and auscultate high-pitched tinkering sounds in the upper abdominal quadrants. Which of the following is the most likely diagnosis?
A. Mesenteric ischemia
C. Gastric ulcer perforation
D. Small bowel obstruction
E. Ischemic colitis
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