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USMLE Step 1 Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 1 questions.

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Old 08-25-2009
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GIT Tinkly bowel sounds + distension

Whenever you see a case of tinkly bowel sounds (exaggerated and sounds like a bell under water) + abdominal distension then think jejunal or ileal obstruction (not dudenal or large bowel).

Common causes in adults include:
  • Hernias
  • Adhesions
  • Tumor
  • Foreign body
  • Meckle's diverticulum
  • Crohn's disease
  • Ascaris infection
  • Midgut volvulus
  • Intussusception
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Clinical-Signs, Gastrointestinal-Tract-, Pathology-

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