docnikki
Forum Guru
Topics: 93
Posts: 680
|
1) A 42-year-old woman comes to the physician
because of increasing
low back pain for 2 days. She is a daily intravenous
drug user. She
has a history of pyelonephritis, abscesses at
injection sites, and
pelvic inflammatory disease. Her temperature is 39 C
(102.2 F), blood
pressure is 130/70 mm Hg, pulse is 84/min, and
respirations are 20/min.
Examination shows warm, dry skin, a supple neck, and
no jugular venous
distention. There is tenderness over L4. Pelvic
examination shows mild
erythema around the cervical os and scant discharge;
there is no adnexal
or cervical motion tenderness. Her hematocrit is 30%,
leukocyte count
is 10,600/mm3, and serum glucose level is 110 mg/dL.
Urinalysis is
within normal limits. Which of the following is the
most appropriate next
step in management?
A
) Echocardiography
B
) Renal ultrasonography
C
) MRI of the back
D
) Colposcopy
E
) Laparoscopy
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| usmle12
Forum Senior
Topics: 19
Posts: 194
|
C MRI of the back cz she might have epidural abscess
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,324
| | 05/22/07 - 10:58 PM
2 of 2 forum leaders found this post helpful
| #3 |
(C) MRI of the back
Vertebral body osteomyelitis
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Don't live in a town where there are no doctors
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| coolmavs
Forum Guru
Topics: 39
Posts: 646
|
MRI
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You know my creds........
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| ts97
Forum Senior
Topics: 13
Posts: 128
|
D. Colposcopy. For cervical cancer
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| dma89
Forum Newbie
Topics: 1
Posts: 4
|
main complaint is about her back, so do mri of back to r/o infxn
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