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16674 Surgery

A 68-year-old male musician presents to the emergency department with a sudden onset of colicky abdominal pain and massive vomiting of 4-hour duration. Examination shows an elevated WBC of 13,200 with a HCT of 45%. Electrolytes and blood urea nitrogen (BUN) are normal. An erect film of the abdomen reveals dilatation of the stomach with distended loops of bowel. What is his clinical diagnosis?

AComplete proximal intestinal obstruction
BIncomplete proximal intestinal obstruction
CComplete ileal obstruction
DIncomplete ileal obstruction
Surgery
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