Severe in Medicine / Internal Medicine — 90yo Man | Gastroenterology | SMLE Q#18393

SMLE Question #18393

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-ABD-ACUTE-001

Last updated: February 2026
A 90-year-old man from a residential care facility presents with severe, diffuse abdominal pain for 24 hours. His abdomen is soft and non-distended, diffusely tender, with hyperactive bowel sounds and no guarding or rigidity. He has not had similar episodes before. What is the most appropriate next step in evaluation?

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