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Abdominal Exam. Abdominal distension. Hypoactive/absent bowel sounds . Bilateral lower abdominal tenderness. Abdominal muscle guarding and/or rebound tenderness. ... CBC with differential – leukocytosis, mild anemia, thrombocytopenia. CMP - Hyponatremia, hypokalemia, hypocalcemia, hypophosphatemia, and hypomagnesemia, elevated BUN and ... ................
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