A long clinical scenario of a middle aged man with generalized acute abdominal pain, mainly epigastric, vomiting. Exam: epigastric tenderness. Investigation: air under diaphragm wi... A long clinical scenario of a middle aged man with generalized acute abdominal pain, mainly epigastric, vomiting. Exam: epigastric tenderness. Investigation: air under diaphragm with distended loops. What is the best diagnostic investigation?
Understand the Problem
The question describes a clinical scenario involving a middle-aged man with abdominal pain and asks for the best diagnostic investigation based on the given symptoms and exam findings.
Answer
Upright abdominal X-ray or chest X-ray.
The best diagnostic investigation is an upright abdominal X-ray or chest X-ray.
Answer for screen readers
The best diagnostic investigation is an upright abdominal X-ray or chest X-ray.
More Information
In cases of suspected perforated peptic ulcer, detection of air under the diaphragm is crucial and often accomplished with an upright X-ray.
Tips
Ensure to assess X-ray images properly to check for free air under the diaphragm, a sign of perforation.
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