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April 12, 2024

An 86-year-old woman presents to the emergency department with a one-day history of severe diffuse abdominal pain,

An 86-year-old woman presents to the emergency department with a one-day history of severe diffuse abdominal pain, vomiting, and one episode of bloody diarrhea. She has a history of coronary bypass surgery 20 years ago, atrial fibrillation, mild vascular dementia, and hypertension. She was taken off anticoagulation for her atrial fibrillation about one month ago after she developed recurrent epistaxis. Her heart rate is 112 beats/min and blood pressure is 102/64 mmHg. Her abdominal examination is fairly unremarkable. Based on this patient’s risk factors, which of the following would be the most likely diagnosis? Mesenteric ischemia. Acute bowel obstruction. Acute pancreatitis. Acute cholecystitis. Cancer of the stomach

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