TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Stahlfeld KR, Edwards M, Sell HW
Y1  - 2003/05/01
N1  - 10.1001/archsurg.138.5.561
JO  - Archives of Surgery
SP  - 561
EP  - 561
VL  - 138
IS  - 5
N2  - 
A 65-YEAR-OLD man had a 1-week history of midepigastric pain, nausea, and vomiting. He denied any previous abdominal complaints. His medical history was significant for peripheral vascular disease, hypertension, a 2-pack-per-day smoking habit, and alcohol abuse (12 drinks per day). His physical examination was remarkable for an irregular heart rate of 124 beats/min, temperature of 38.4°C, and mild abdominal distention and tenderness, but no signs of peritonitis. His white blood cell count was 20.1 × 103µL and his sodium level was 119 mEq/L. Plain abdominal x-ray films were nonspecific.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.138.5.561
UR  - http://dx.doi.org/10.1001/archsurg.138.5.561
ER  -