A 75-year-old lady presents with acute left sided abdominal pain associated with diarrhea and rectal bleeding. On admission, her temperature was 38 C, pulse was 100 beats/min and blood pressure was 150/70. Clinical examination showed a mildly distended abdomen with tenderness and guarding in the left iliac fossa. Assuming the patient is well resuscitated, what is the investigation of choice?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. CT abdomen with oral and IV contrast
An elderly woman with left iliac fossa pain, tenderness and guarding, fever and tachycardia most likely has acute diverticulitis, possibly complicated. The investigation of choice is a contrast CT of the abdomen and pelvis, which confirms the diagnosis and shows complications such as abscess or perforation. Colonoscopy and barium enema are not done in the acute inflamed phase, and laparoscopy is not a first-line diagnostic test.
- المصدر
- Surgical Principles - Bowel Obstruction.pdf · p. 5
- المحاضرة
- Appendicitis · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 27 Q19