Abdominal Sounds


25 year old woman with severe abdominal pain.

Patient Chart

A 25 year old woman with history of appendicitis with perforation and subsequent adhesion.


Physical Exam


Normal blood pressure and heart rate. Heart and lung sounds normal. Abdominal distension is noted.


Elevated white blood cell count. Elevated urobilinogen



Auscultation:




Diagnosis
What is your diagnosis?