Abdominal Sounds

40 year old man with generalized abdominal pain

Patient Chart

40 year old male seen in ER with a history of generalized abdominal pain of 24 hour duration.

Physical Exam

Blood pressure is normal. Pulse rate is 120 bpm.

White blood cell count elevated.
BUN elevated.
Serum sodium normal
Chest x-ray normal.


What is your diagnosis?