Intra-abdominal abscess Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 64-year-old woman presents to the emergency department with a four-day history of worsening left lower quadrant abdominal pain, fever, and constipation. She has not had nausea, vomiting, or diarrhea. Past medical history is significant for uncomplicated acute diverticulitis, diagnosed and managed conservatively six weeks ago. Temperature is 38.9°C (102°F), blood pressure is 110/70 mmHg, pulse is 112/min, and respiratory rate is 16/min. On examination, the patient has tenderness in the left lower quadrant with guarding. Laboratory evaluation is significant for leukocytosis and an elevated CRP. A computed tomography (CT) scan of the abdomen reveals a 5 cm uniloculated, well-localized abscess in the left lower quadrant adjacent to a segment of inflamed diverticula. IV access is obtained, fluids are started, and blood cultures are taken. Which of the following is the best next step in management?

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Consult surgery for emergent laparotomy

Start empiric antibiotics and consult interventional radiology for image-guided percutaneous drainage

Perform serial abdominal examinations

Start empiric IV antibiotics and admit to the hospital for observation

Start empiric antibiotics and consult surgery for surgical drainage