thaisbotelho
Forum Junior
Topics: 21
Posts: 58
|
19.
A 27-year-old primigravid woman at 29 weeks' gestation
comes to the
emergency department because of a 24-hour history of
increasingly severe
right-sided abdominal pain and no appetite. She has
vomited twice over
the past 4 hours. She has not had vaginal bleeding.
Her temperature
is 38.2 C (100.8 F). Examination shows exquisite
tenderness of the
right lateral flank and the fundus. There are no
peritoneal signs. Bowel
sounds are absent. The fetal heart rate is 144/min.
Laboratory
studies show:
Hematocrit 37%
Leukocyte count 16,000/mm3
Serum
Total bilirubin 1.1 mg/dL
Amylase 32 U/L
Lactate dehydrogenase 110 U/L
Urine WBC 3–5/hpf
Which of the following is the most likely diagnosis?
A
) Abruptio placentae
B
) Appendicitis
C
) Cholelithiasis
D
) Colitis
E
) Pyelonephritis
B or E??
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| umeed99
Forum Junior
Topics: 14
Posts: 59
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I THINK E...BUT SUSPICIOUS ABT A.
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| nightflight1945
banned
Topics: 32
Posts: 920
|
B
) Appendicitis
E is ruled out by normal WBC in urine
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| hir
Forum Guru
Topics: 4
Posts: 525
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B
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