Question 97 · LEK · Cross-cutting topics
An 28-year-old woman was admitted to the hospital complaining of diffuse abdominal pain, nausea, vomiting accompanied by constipation, all of which occurred after drinking two glasses of wine. Additionally she was febrile, complained of increased sweating, had problems with urination, felt dizzy and feared. There were no symptoms of anemia. In the differential diagnostics the crucial question should be:
- A. Have you seen blood in your stools?.
- B. Have you had black vomiting?.
- C. Has your urine turned red?.
- D. Have you failed in anything in life recently?.
- E. Has abdominal pain occurred before?.
Hint
Severe abdominal pain with constipation and autonomic and psychiatric symptoms triggered by alcohol in a young woman suggests a metabolic disorder; what would the urine show?
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