A 47-year-old man presents to the ED with severe, intermittent, gaslike epigastric pain and mild nausea. The abdominal examination reveals exquisite tenderness in the epigastric and bilateral upper quadrant regions, with focal rebound tenderness and guarding. The patient denies having any other abdominal symptoms, and all laboratory investigations are normal.
Case Presentation and Diagnosis
CME/CE Test Questions