From Dec old male at ER complaining of right abdominal pain, with fever, anorexia, weight loss, tenderness in right quadrant, and a toxic appearance. Temp: 37.9. WBC and bilirubin... From Dec old male at ER complaining of right abdominal pain, with fever, anorexia, weight loss, tenderness in right quadrant, and a toxic appearance. Temp: 37.9. WBC and bilirubin levels are high. US shows a cystic lesion without septates; CT shows a thick wall with peripheral enhancement. What's the most appropriate management?
Understand the Problem
The question is describing a clinical scenario involving a patient with right abdominal pain and various symptoms, including fever and elevated lab values. It asks for the most appropriate management option for the patient based on the findings from ultrasound and CT imaging.
Answer
Percutaneous drainage.
Percutaneous drainage of the cystic lesion is the most appropriate management.
Answer for screen readers
Percutaneous drainage of the cystic lesion is the most appropriate management.
More Information
This clinical presentation is suggestive of a liver abscess, possibly amebic, which is typically managed with percutaneous drainage and antibiotics.
Tips
A common mistake is rushing to surgical options without considering less invasive procedures like percutaneous drainage.
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