A 52-yeаr-оld mаle with а histоry оf alcohol use disorder, presents to the ED. They are clutching their abdomen, and bent over in agony. They tell the triage nurse, "I had a heavy breakfast of sausage and eggs, and about an hour later, this pain hit me like a truck. It’s right here in the middle of my stomach and goes straight through to my back." The patient rates the pain 10/10 and vomits bile-stained fluid into an emesis basin during the interview. While helping the patient into a gown, the nurse notices a bluish, bruised appearance around his umbilicus. The nurse documents this specific finding as [BLANK-1] sign.
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