This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General surgery, Subject name: Surgery
All are early features of generalized peritonitis except 
Select and explain. 
A. Abdominal tenderness, B. Infrequent bowel sounds, C. Tachy cardia, D. Hippocratic facies
D: Hippocratic facies
Answer: D: Hippocratic facies 
Explanation: 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