Assignment task:
You are on your 5th straight duty in the Urgent Care and you are seeing a 18 yo may who presented with acute-onset abdominal pain for 2 days. The pain was initially felt at the epigastric area, aching in character and progressed into constant and stabbing pain and eventually became very severe and generalized in nature. It was associated with a few episodes of bilious vomiting. There was no history of any drug intake, neither stress situation nor trauma. On physical examination, the patient was looking septic with poor general condition. He had fever, tachycardia and tachypnea. The abdomen was distended with generalized tenderness with board-like rigidity in all quadrants. WBC was 16 with a neutrophil predominance and the stat CT you ordered revealed pneumoperitoneum and demonstrated generalized peritoneal fluid, which was more abundant above the transverse colon. Upon review of his PMHx, you learned that the patient tested positive for H Pylori a few years back. What is the diagnosis and possible cause? Need Assignment Help?