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Review Question - QID 213498

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QID 213498 (Type "213498" in App Search)
A 43-year-old homeless man is brought to the emergency room for severe abdominal pain. He is known to the emergency department for repeated visits for alcohol intoxication. He reports that the pain started about 3 hours ago and describes it as sharp, piercing, 10/10, and concentrated at the epigastric region with radiation to the back. His past medical history is unclear given his homeless status. His temperature is 100.4°F (38°C), blood pressure is 104/80 mmHg, the pulse is 104/min, and respirations are 16/min. A physical examination demonstrates epigastric tenderness and the finding shown in Figure A. What is the most likely diagnosis for this patient?
  • A
  • A