Atrial Fibrillation Is Not in Medicine / Internal Medicine — 75yo Woman | Gastroenterology | SMLE Q#18296
SMLE Question #18296
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-IM-GI-ACMES-001
Last updated: February 2026
A 75-year-old woman with atrial fibrillation is not taking anticoagulation. She presents to the emergency department with sudden-onset, severe diffuse abdominal pain and recent unintentional weight loss. She says the pain is “out of proportion” to the examination. The abdomen is soft with mild diffuse tenderness and decreased bowel sounds, without guarding or rebound. What is the most appropriate next diagnostic test to confirm the suspected diagnosis?
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