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Through questioning, physical examination, auscultation, and two magical scans of X-rays and ultrasonography, the diagnosis had become clear: mechanical intestinal obstruction caused by roundworms, incomplete but chronic—had it been acute, the young lady wouldn’t have lasted this long.

Normally, such cases fell under gastroenterology; even in the emergency department, it would be handled by internal medicine. Only when complications like strangulation, perforation, or necrosis ar ...

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