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Abdominal Pain, Vomiting, and Diarrhea  

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BACKGROUND
A 76-year-old man presents with nausea, vomiting, diarrhea, and worsening abdominal pain. The pain is poorly localized and colicky and has lasted for 2 days.
Hint
Significant features of the history of this patient include an appendectomy 12 years ago, hypertension, and coronary artery bypass surgery.
Author: Michael Cetta, MD
Department of Emergency Medicine, Washington Hospital Center
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