A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92% neutrophils, a blood urea nitrogen level of 42 mg per deciliter (15 p,mol per liter) and a serum creatinine level of 3.0 mg per deciliter (267 fimol per liter). The most probable diagnosis in this pateint would be-
A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92% neutrophils, a blood urea nitrogen level of 42 mg per deciliter (15 p,mol per liter) and a serum creatinine level of 3.0 mg per deciliter (267 fimol per liter). The most probable diagnosis in this pateint would be-
π‘ Explanation
A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92% neutrophils, a blood urea nitrogen level of 42 mg per deciliter (15 p,mol per liter) and a serum creatinine level of 3.0 mg per deciliter (267 fimol per liter). The most probable diagnosis in this pateint would be-
β Correct Answer: B. Mesenteric ischemia
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