Question 30 (part 2) · LEK · Mechanical obstruction
High-pitched metallic peristaltic tones alternated with periods of silence are audible on physical examination of the abdomen. The symptom is typical of:
- A. acute cholecystitis.
- B. diffuse peritonitis.
- C. functional bowel obstruction.
- D. mechanical bowel obstruction.
- E. acute pancreatitis.
Hint
Loud tinkling sounds mean peristalsis is working hard against something — what kind of obstruction does that suggest?
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