Cody is a teenager with a history of leukemia and an enlarged spleen. today he presents with fairly significant left upper quadrant pain. on examination of this area a rough grating noise is heard. what is this sound? a) it is a splenic rub.
b) it is a variant of bowel noise.
c) it represents borborymi.
d) it is a vascular noise.

The correct answer is option a) splenic rub.

Explanation:

Chronic leukemia can lead to spleen enlargement which can lead to splenic rub. The splenic rub can be heard in conditions in which individuals experience acute pain in the left quadrant of the abdomen because of the infraction of the spleen.

The splenic rub is a loud grating noise that occurs due to several underlying diseases such as leukemia.

Thus, the correct answer is option a. Splenic rub.

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