Question

A 20-year-old patient with a history of GERD presents with severe abdominal pain and fever. On examination, a succussion splash is heard. What is the most likely diagnosis?

1) Gastroenteritis
2) Appendicitis
3) Cholecystitis
4) Peritonitis

Answer 1

The most likely diagnosis for a patient with a history of GERD presenting with severe abdominal pain, fever, and a succussion splash on examination is peritonitis.

Step-by-step explanation:

A 20-year-old patient with a history of GERD (Gastroesophageal Reflux Disease) who presents with severe abdominal pain and fever along with a "succussion splash" on examination is most likely suffering from peritonitis. A succussion splash is typically associated with the presence of air and fluid in the stomach and is indicative of gastric outlet obstruction, which can be caused by a perforated ulcer leading to peritonitis. Peritonitis is an inflammation of the peritoneum, often due to a bacterial infection which can be life-threatening and require emergency surgery.