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Typical presentations include systemic symptoms, such as fatigue, fever, and malaise, and local symptoms that include tenderness, erythema, and swelling (214)

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Its a process Massoud describes as doing Omar Sharif in reverse, referencing the Lawrence of Arabia star who was the first Egyptian actor to cross over to Hollywood

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Direct answer: Severe swelling, worsening cramping, repeated vomiting, and an inability to pass stool or gas may suggest ileus or bowel obstruction