A 25-years-old female presents with High Grade Pyrexia for ten days, develops acute pain in periumbilical region spreading all over the abdomen. What would be the most likely cause?
Correct Answer: Typhoid enteric perforation and peritonitis
Description: Diagnosis is Enteric Fever or Typhoid Fever and abdominal pain are hallmark symptoms Non-specific symptoms: Headache, cough, sweating, myalgia, ahralgia, fatigue Paralytic ileus is the MC complication of typhoid Intestinal hemorrhage (2nd MC) may be the leading symptom Characteristic signs Rose spots, splenomegaly, leucopenia with shift to left Relative bradycardia despite of high fever TB is Less likely as History doesn't mention Low Grade fever, Night Sweating, Weight loss . Appendicular perforation is an acute condition with Shifting of pain to Right Illiac Fossa.
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now