Department with two-day history of nausea and vomiting

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A 34-year-old woman presents to the emergency department with a two-day history of nausea and vomiting. The physician is concerned for small bowel obstruction. Which of the following symptoms or signs would be most suggestive of an alternative diagnosis? Crampy periumbilical pain. A history of previous abdominal surgeries. Bilious vomit. Coffee grounds emesis. Fecal odor to vomitus.

Reference no: EM133702787

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