20. Your patient is a 7 year old male who presents to you with right lower quadrant pain and vomiting. The patients vital signs are as follows: Temp 99.1, Pulse- 94, RR-16, BP-92/50. Labs are as follows WBC-11.4, Hgb 14.0, Hct-42.1, Platelets 145,000. His urinalysis reveals WBC 2-4/hpf. His abdominal exam reveals moderate tenderness in the RLQ. Scrotal exam is normal. Based upon this information, what is the best management option?
A. Send the patient home with a script for bactrim for a UTI and follow the patient up in 5 days.
B. Send the patient home, he likely has mesenteric adenitis since his abdominal exam is non surgical
C. Order a CT scan of the abdomen and pelvis with IV and colonic contrast to rule out appendicitis.
D. Instruct the patient on appropriate hygiene. This is likely an issue with him wiping after defecating.
No comments:
Post a Comment