nbme1 what i this? - sampangi04

[ArchivalUser]

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

thanx

[ArchivalUser]

C ) Gram's stain of abdominal fluid

[ArchivalUser]

? isthe diagnosis?

[ArchivalUser]

peritoneal dialysis for 18 months....he has infection 102.2 F....u have to treat it thats why u have to do Gram's stain first and the treat it with AB.

hope this help