jasmin
Forum Junior
Topics: 7
Posts: 40
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please explain
1. A 70-year-old woman has had increasing abdominal pain over the past 2 days. She has renal failure and has been receiving peritoneal dialysis for 18 months; her last treatment was 2 hours ago. She appears toxic. Her temperature is 39 C (102.2 F), and blood pressure is 140/90 mm Hg. Her abdomen is distended and diffusely tender to deep palpation with rebound tenderness. Leukocyte count is 18,000/mm3. Which of the following is the most appropriate next step?
A ) X-ray films of the abdomen
B ) Comparison of abdominal fluid amylase with serum amylase activity
C ) Gram's stain of abdominal fluid
D ) Ultrasonography of the abdomen
E ) CT scan of the abdomen and pelvis
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| medicus_81
Forum Elite
Topics: 12
Posts: 428
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I would say C. Suspect peritonitis with peritoneal dialysis...
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If you judge people you have no time to love them
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| medicus_81
Forum Elite
Topics: 12
Posts: 428
|
I would say C. Suspect peritonitis with peritoneal dialysis...
___________________
If you judge people you have no time to love them
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