Page 81 - Demo
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                                    Perforated Peptic Ulcer: Presentation%u2022 Sudden, severe epigastric pain%u2022 Hematemesis (vomiting blood)%u2022 Melena (dark, tarry stools)Presentation:%u2022 Abdominal rigidity, rebound tendernessSigns of peritonitis:%u2022 Fever, tachycardia, hypotension (if shock develops)Systemic symptoms:
                                
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