He experienced bloating and episodes of vomiting, but had had no bowel movement from the onset of symptoms. Physical examination upon admission showed patient was suffering pain and had signs of dehydration grade II without oral tolerance. His blood pressure was 110/70, his heart rate was 125/minute, and his temperature was 37.9o. His oral mucosa was dry and he had tachycardia. His abdomen was distended but was without pains on palpation and Blumberg's sign was absent. There were no overt signs of peritoneal irritation. Bowel sounds were present, but diminished.
El examen físico de ingreso muestra un paciente álgico con signos de deshidratación grado II, sin tolerancia a la vía oral, TA 110/70 mm de Hg FC 125 x min FR: 23 x min t: 37,9 mucosa oral seca, ruidos cardíacos taquicárdicos, abdomen distendido, doloroso a la palpación Blomberg ausente; no hay signos francos de irritación peritoneal y los ruidos intestinales están presentes pero disminuidos.