Acute abdomen

A male aged 42 years Chief Complaints Rapid onset pain abdomen (x 1 day) Diffuse Non colicky A/w obstipation Occ vomiting Physical Examination Distended abdomen No bowel sounds Investigations Xray abdomen Management What is the next crucial step in management

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vitals, Obstipation for how many days, vomiting is projectile or non-projectile, PR examination findings are crucial information. USG of abdomen and serum electrolytes are important before deciding to go for laparotomy.

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Constipation