Portal vein thrombosis 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 55-year-old man presents to the emergency department with a 3-day history of progressively worsening right upper quadrant pain, fever, and chills. He was treated 5 days ago with antibiotics for diverticulitis. At first, he had improvement of the initial left lower quadrant pain, but he then developed right upper quadrant abdominal pain, fevers, and chills. He has no personal or family history of a hypercoagulable state. His medical history is significant for hypertension, managed with lisinopril. Temperature is 39℃ (100.4℉), pulse is 88/min, respiratory rate is 18/min, blood pressure is 112/74 mmHg, and oxygen saturation is 99% on room air. Abdominal examination reveals abdominal tenderness in the right upper quadrant and guarding, without rebound tenderness. Laboratory tests show leukocytosis, normal transaminases, and normal INR. A bedside Doppler ultrasound reveals hyperechoic material in the portal vein with impaired blood flow from partial occlusion. What is the best next step in management?
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