A 75 year old male present complaining of cramping abdominal…
A 75 year old male present complaining of cramping abdominal pain, distention and constipation for 2 days. Patient also reports nausea and vomiting that started few hours ago. Patient reports he has not been able to pass gas today. On exam, patient appears pale. Abdomen is distended, absent bowel sounds, hyper-resonant on percussion, diffuse tenderness with no rebound. VS: BP: 150/100 mmHg Lt arm supine, HR: 100 bpm, T: 98.8F oral, RR: 20 bpm. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.