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A Patient's Chief Complaint Is an Initial Incident of Vomiting

Question 32

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A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours.To examine the patient's abdominal pain,you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended.After you release the pressure,the patient complains of pain at the pressure site,indicating


A) referred rebound tenderness.
B) localized pain.
C) direct rebound tenderness.
D) positive Cullen's sign.

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