From Dec old male at ER C/O right abdominal pain, O/E: fever, anorexia, weight loss tenderness in RQ and lower intercostal margins also patient is toxic Temp. 37.9 (I think but it... From Dec old male at ER C/O right abdominal pain, O/E: fever, anorexia, weight loss tenderness in RQ and lower intercostal margins also patient is toxic Temp. 37.9 (I think but it was elevated) wbc high, bilirubin high US: cystic lesion without septates CT: homogenous (not sure) and thick wall with peripheral enhancement what's most appropriate Mx: A. Early laparoscopic cholecystectomy B. Emergent stent chole C. Cholecystectomy after 3 months
Understand the Problem
The question provides a clinical scenario involving a patient with specific symptoms and test results. It asks for the most appropriate management based on the diagnosis inferred from the provided details, likely relating to a gallbladder condition.
Answer
Emergent stent chole.
The most appropriate management for the case described would be an emergent stent chole.
Answer for screen readers
The most appropriate management for the case described would be an emergent stent chole.
More Information
Given the symptoms and diagnostic imaging results, the presence of a cystic lesion with thick walls and peripheral enhancement in the context of fever and elevated white blood cell count suggests a complicated biliary condition, possibly a gallbladder abscess or severe cholecystitis. In such acute cases, intervention to relieve the duct obstruction is often necessary.
Tips
A common mistake is to delay intervention (like waiting 3 months for cholecystectomy) when there are signs of acute inflammation or potential abscess. Immediate attention is crucial in such cases.
AI-generated content may contain errors. Please verify critical information
