A 35yo male builder presented with sudden onset of severe abdominal pain. He was previously
fit and well other than taking ibuprofen for a long term knee injury. On examination he is in
severe pain, pulse=110bpm, BP=110/70mmHg and has a rigid abdomen. What is the most likely
dx?
a. Biliary peritonitis
b. Ischemic colon
c. Pancreatic necrosis
d. Perforated diverticulum
e. Perforated peptic ulcer
answer: E..... history of NSAID use
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