A 69-year-old male with a history of hypertension and insulin-dependent diabetes complains of an acute onset of tearing pain in the lower quadrants of his abdomen that radiates to the back. His blood pressure is 90/50 mm Hg, pulse is 110 beats/min and thready, and respirations are 24 breaths/min and shallow. This clinical presentation is MOST consistent with:
A. inflammation of the liver or spleen.
B. acute inflammation of the pancreas.
C. rupture of the vermiform appendix.
D. ruptured or dissecting aortic aneurysm.
Ans: D. ruptured or dissecting aortic aneurysm.
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