Abdominal Sounds

60 year old woman with diffuse abdominal pain.

Patient Chart

A 60 year old woman with nausea vomiting and diffuse abdominal pain of two days duration.

Physical Exam

Low blood pressure. Rapid heart rate. Abdominal swelling. Marked discomfort with change in position.

Elevated white blood cell count. Decreased red blood cell count. Serum sodium increased.


What is your diagnosis?