All are early features of generalized peritonitis except
High-Yield 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