A 45-year-old man presents to the ER with severe abdominal pain, vomiting, abdominal distension, blood pressure of 110/75mmHg, HR 105bpm and temperature of 38.5 C with high white blood cell count (WBC) of 13,000. Bowel perforation is highly suspected. What is the single initial diagnostic test to confirm the diagnosis?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Erect chest x-ray
Suspected perforation is confirmed initially with an erect chest X-ray, which shows free air under the (right) diaphragm (pneumoperitoneum). In unstable/suspected-perforation patients the lecture uses the X-ray series (including upright CXR) rather than CT. Ultrasound and MRI are not the initial tests for free air, and diagnostic laparoscopy is invasive, not the first test.
- المصدر
- GI radiology (1).pdf · p. 1
Surgical Principles - Bowel Obstruction.pdf · p. 3 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 33 Q6