A Case of Duodenal Obstruction
نویسنده
چکیده
Physical examination disclosed a woman with dry skin and tongue. Temperature?97.6; pulse?116; respirations?20; blood pressure?116/70. Pyorrhoea waa marked. Chest, heart and lungs were normal. On inspection the abdomen disclosed a narrow subcostal angle below which fleeting peristalsis was visible. After drinking two teaspoonfuls of water, this was immediately markedly exaggerated; the movement being from the left costal margin to the right. When the wave reached the right costal margin, gurgling was heard without the use of the stethescope. No distension was noted. Palpation disclosed extreme rigidity of the right lumbar region extending anteriorly almost to the mid-line of the abdomen. Some spasm and rebound tenderness was noted in the right lower quadrant. _ A
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