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Bladder history is an important red flag sign.
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Repeating it again

Bladder involvement is a late sign

A prudent doctor will prevent bladder involvement by early imaging and early intervention 

Waiting for complications to develop shows lack of knowledge or lack of humanity or both 

Be prudent and be compassionate 

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When a patient comes with pain abdomen, evaluate radiologically to see for perforation or obstruction 

Constipation, obstipation, guarding, rigidity will develop much later and bowel may even go for gangrene 

Don't wait for those complications 

A prudent doctor must prevent complications of perforated hollow vicsus by prompt imaging and prompt treatment 

Waiting for Constipation, obstipation, guarding, rigidity is neither wise not humane 

Same way 
Waiting for weakness, bowel involvement in case or spinal pathology is neither wise nor humane