History and physical examination permit the diagnosis of intestinal obstruction in most cases. Which of the following are important for the clinical diagnosis of small bowel obstruction?

A. Crampy abdominal pain.

B. Fever.

C. Vomiting

D. Abdominal distention

F. Abdominal tenderness.

DISCUSSION: History and physical examination permit the diagnosis of intestinal obstruction. Any patient having crampy abdominal pain, vomiting, obstipation, abdominal distention, abdominal tenderness, and peristaltic rushes should be managed for intestinal obstruction until the diagnosis can confidently be excluded.