A 62-year-old male presents to the emergency department with…
A 62-year-old male presents to the emergency department with a 2-day history of worsening crampy abdominal pain, nausea, and vomiting. He reports no bowel movement or passage of flatus over the past 24 hours. On exam, his abdomen is distended and tympanic with high-pitched bowel sounds. Based on this presentation, what is your next immediate management step, and what diagnostic study would you order to confirm your suspected diagnosis?
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