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+--- Thread: nbme 1 b1 q1 - irvinedawg (/showthread.php?tid=430324)
nbme 1 b1 q1 - irvinedawg - ArchivalUser - 07-21-2009
1. A 70-year-old woman has had increasing abdominal pain over the past 2 days. She has renal failure and has been receiving peritoneal dialysis for 18 months; her last treatment was 2 hours ago. She appears toxic. Her temperature is 39 C (102.2 F), and blood pressure is 140/90 mm Hg. Her abdomen is distended and diffusely tender to deep palpation with rebound tenderness. Leukocyte count is 18,000/mm3. Which of the following is the most appropriate next step?
A ) X-ray films of the abdomen
B ) Comparison of abdominal fluid amylase with serum amylase activity
C ) Gram's stain of abdominal fluid
D ) Ultrasonography of the abdomen
E ) CT scan of the abdomen and pelvis
0 - ArchivalUser - 07-21-2009
C ) Gram's stain of abdominal fluid
0 - ArchivalUser - 07-23-2009
can someone explain?
thanks
0 - ArchivalUser - 07-23-2009
it is Spontaneous bacterial peritonitis.