Diverticulitis Quiz: Ace Your Exams
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A 66-year-old woman presents to the emergency department for severe lower left quadrant abdominal pain, nausea, and vomiting that started abruptly two days ago. The patient had a fever of 38.4°C (101.1 ºF) at home and has not had a bowel movement since the symptoms started. There is no weight loss, diarrhea, or dysuria. The patient had a similar episode a year ago that resolved with dietary modifications and bowel rest. The patient was treated one month ago with ciprofloxacin for acute pyelonephritis. Temperature is 38.3 °C (100.9 °F), blood pressure is 119/76 mmHg, pulse is 91/min, and respirations are 20/min. The patient appears uncomfortable. Bowel sounds are hypoactive, and the abdomen is distended and tender to palpation in the left lower quadrant. Serum white blood cell count and CRP are elevated. Which of the following studies should be ordered to diagnose this patient’s underlying condition?
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