Cholecystitis Quiz: Ace Your Exams
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A 65-year-old woman is brought to the emergency department by EMS after being found down at home by her partner. The patient’s partner reports that the patient has been complaining of steady and moderate right upper quadrant abdominal pain and right scapula pain that lasts for a few hours after eating for the past 2 days. He states that the pain was continuous today, and that she was having similar symptoms about a month ago. The patient appears ill, has an altered mental status, and is unable to provide any clinical history. She has pale skin that is not jaundiced and there is no scleral icterus. BMI is 30. Temperature is 39.0°C (102.2°F), blood pressure is 95/73 mmHg, pulse is 111/min, and Sp02 is 99% on room air. Physical examination reveals diffuse abdominal tenderness to palpation with guarding. The patient is provided with intravenous fluids and empiric antibiotics. Laboratory results demonstrate a white blood cell count of 18,100/mm3. Which of the following is the next best step in management?
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