Sudden Severe Generalized Abdominal in Surgery — 52yo Man | General Surgery | SMLE Q#17854

SMLE Question #17854

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 52-year-old man with peptic ulcer disease presents with sudden severe generalized abdominal pain. He is diaphoretic and confused. Examination shows a rigid abdomen with diffuse guarding and rebound tenderness. What is the most appropriate initial step in management?

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