A 4-year-old girl with progressive abdominal pain

A 4-year-old girl presented to the hospital with progressive abdominal pain

 

Question

A 4-year-old girl presented to the hospital with progressive abdominal pain and distention after a 1-week history of watery diarrhea. The physical examination showed a body temperature of 36.2°C, a distended abdomen, hypoactive bowel sounds, and diffuse tenderness without rebound pain. The laboratory evaluation revealed a white-cell count of 5000 per cubic millimeter, with 63% segmented neutrophils,

What is the diagnosis?

Ankylosing spondylitis
Ascending cholangitis
Intestinal obstruction
Pancreatitis
Perforation of a viscus

 

 

Created by USMLE PlAB MCQ

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