kpmle2
Forum Guru
Topics: 95
Posts: 512
|
A 75-year-old woman comes to the ED with
complaints of nausea and nonbilious, nonbloody
vomiting over the past 4 days. The patient
reports that both the nausea and vomiting
come in “waves”; that is, several hours will pass
during which she feels well before the vomiting
suddenly recurs. A detailed history reveals
that the woman was told several months ago
that she “has stones in her gallbladder,” but
she has been too frightened to undergo
surgery. She has not had a bowel movement
for 7 days. Her physical examination reveals a
temperature of 38.4 C and a distended
abdomen with high-pitched bowel
sounds. What is the most appropriate initial
test for a patient with suspected gallstone ileus?
(A) Abdominal ultrasound
(B) Diagnostic laparoscopy
(C) Endoscopic retrograde cholangiopancreatography
(D) Hepatic iminodiacetic acid scan
(E) Plain x-ray of the abdomen
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
E. Plain Xray shows air in the biliary tree, small bowel distention, and a gallstone in the small bowel
Ct-scan is more sensitive for these findings though
|
| umeed99
Forum Junior
Topics: 14
Posts: 59
|
yup
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
|
| drms
Forum Guru
Topics: 14
Posts: 947
|
E
___________________
“It is a funny thing about life; if you refuse to accept anything but the best, you very often get it.”
|
|
| |
| | | | | |
Similar forum topics