A 45-year-old diabetic man underwent a laparotomy for a diverticular perforation. On the 4th post-operative day, he developed a high-grade fever with chills and multiple spikes. On... A 45-year-old diabetic man underwent a laparotomy for a diverticular perforation. On the 4th post-operative day, he developed a high-grade fever with chills and multiple spikes. On examination, his wound is healthy and his chest is clear to auscultation. On Digital rectal examination, there is bogginess anteriorly. Blood pressure 110/70 mmHg, Heart rate 120/min, Respiratory rate 18/min, Temperature 38 °C. Which of the following is the most appropriate treatment? A. IV antibiotics B. IV paracetamol C. Abdominal cavity washout D. Ultrasound guided drainage
Understand the Problem
The question describes a clinical scenario of a 45-year-old diabetic man who underwent a laparotomy for diverticular perforation and developed post-operative complications. We need to determine the most appropriate treatment based on the given information.
Answer
The most appropriate treatment is D. Ultrasound guided drainage.
The most appropriate treatment is D. Ultrasound-guided drainage. The patient's presentation, including fever, chills, and bogginess on digital rectal exam after laparotomy for diverticular perforation, suggests a pelvic abscess. Ultrasound-guided drainage is the best option to drain the abscess.
Answer for screen readers
The most appropriate treatment is D. Ultrasound-guided drainage. The patient's presentation, including fever, chills, and bogginess on digital rectal exam after laparotomy for diverticular perforation, suggests a pelvic abscess. Ultrasound-guided drainage is the best option to drain the abscess.
More Information
A pelvic abscess is a collection of pus that forms in the pelvis. It can be caused by a number of things, including infection, surgery, or trauma. Symptoms of a pelvic abscess include fever, pain, and tenderness in the pelvis. Treatment typically involves drainage of the abscess and antibiotics.
Tips
A common mistake is to administer antibiotics without drainage; antibiotics alone are often insufficient for treating abscesses.
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