A 75 year old male reports nausea, vomiting and abdominal di…
A 75 year old male reports nausea, vomiting and abdominal distension for 1 day. Patient reports that vomiting consisted of foul smelling feculent material. Patient reports he does not see medical providers, does not take any medications and has not had any preventative screenings. Patient reports history of constipation, weight loss and tiredness in the last few months. On exam, patient appears pale. Abdomen is mildly distended, hypoactive bowel sounds, tympany on percussion, diffuse tenderness with no rebound. VS: BP: 145/95 mmHg Lt arm supine, HR: 100 bpm, T: 98.8F oral, RR: 18 bpm. Please provide a reading for the following image: