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Old 03-19-2010
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Question Acute Abdomen Case

A 50 year old man presented to the ER with severe right upper quadrant pain that started few hours ago after feeling unwell for 3 days. On examination his temperature was 39.1, BP 120/75, RR 18, PR 95. Severe tenderness in the right upper quadrant area elicited and an inspiratory catch noted when deep palpation attempted in the same area. Which of the following is adequate management for this patient?
A- Intravenous fluids and observation
B- Intravenous antibiotics and observation
C- Referral to surgical services for next day surgery
D- Immediate surgical referral for urgent surgery
E- Urgent percutanous drainage
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Old 03-19-2010
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Default A/c abdominal case !!

The answer will lie between A and B.
But I prefer A.
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Old 03-19-2010
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Default Not it's not A or B

The correct answer is C
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Quote:
Originally Posted by 13monument View Post
The correct answer is C
So you think it's a surg emergency?
Could you please explain me in depth?
Thank a lot !
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Old 03-20-2010
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Default Treatment is cholecystectomy

Quote:
Originally Posted by wahaha007 View Post
So you think it's a surg emergency?
Could you please explain me in depth?
Thank a lot !
It's not an emergency, it's next day surgery.
This patient is having gall stones causing acute cholecystitis. While fluids, analgesia, antibiotics help, still the mainstay of therapy is cholecystectomy in calcular cholecystitis.
Since there are two similar options, they are both wrong A and B. See what Rasheed wrote here
Two Similar Options Are Wrong
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Old 03-20-2010
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Quote:
Originally Posted by 13monument View Post
It's not an emergency, it's next day surgery.
This patient is having gall stones causing acute cholecystitis. While fluids, analgesia, antibiotics help the mainstay of therapy is cholecystectomy in calcular cholecystitis.
Since there are two similar options, they are both wrong A and B. See what Rasheed wrote here
Two Similar Options Are Wrong
Thanks a lot.
Plz post more to lessen our forum members' mistakes during exam.
Thanks a million, friend 13monument.
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