The-surgeon
Forum Newbie
Topics: 4
Posts: 22
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72 year old man brought to the operating room for an elective repair of abodominal aortic aneurysm , the aneurysm has been followed for 3 years and grew 1 cm over the past year to 5.8 cm , the operation was not complicated and the patien extubated and brought to surgical ICU , he remained hemodynamically stable his lower extremities are warm and well perfused. post op day one his creatinine increased from 1.1 to 1.3 mg/dl , urine out put is 40 ml/hr , on post op day 2 he complained of abdominal pain and has an episode of bloody diarreha , CBC showed Hb to decrease from 10 to 9 mg/dl and his WBC increased from 12,000 to 15,000 . what is the next step in management?
A.CT scan of abdomen and pelvis
B.repeat labs in 6-8 weeks
C.send for clostridium difficle toxin assey start oral flagyl
D.transfuse 2 units of whole blood
E.urgent colonoscopy
PLEASE WHEN YOU ANSWER EXPLAIN WHY YOU CHOSE YOUR ANSWER, thank you in advance.
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| nightflight1945
banned
Topics: 32
Posts: 920
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A.CT scan of abdomen and pelvis
the most important DD is ischemic colitis and the first best next step is Abdominal CT scan
Edited by nightflight1945 on 08/25/08 - 12:52 AM
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