All are early features of generalized peritonitis except: (A) Abdominal tenderness, (B) Infrequent bowel sounds, (C) Tachy cardia, (D) Hippocratic facies
Answer is D. Features of diffuse/generalised peritonitisEarlyAbdominal painTendernessGuardingInfrequent bowel soundsTachycardiaFeverLaterAbdominal rigidityAbdominal distensionAbsent bowel soundsCold, clammy extremitiesThready irregular pulseDrawn and anxious face (Hippocratic facies) Ref: Bailey and love 27e pg: 1050