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Review Question - QID 213625

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QID 213625 (Type "213625" in App Search)
A 44-year-old man presents to the emergency department with abdominal pain and a fever. He states that it started earlier this week and that it has been gradually worsening. The patient states that he recently returned from a trip to Mexico and had diarrhea which resolved on its own. The patient is generally healthy and only has an elevated fasting blood glucose. His temperature is 102°F (38.9°C), blood pressure is 129/89 mmHg, pulse is 108/min, respirations are 17/min, and oxygen saturation is 99% on room air. Physical exam is notable for right upper quadrant abdominal tenderness. Laboratory values are ordered as seen below.

Serum:
Alkaline phosphatase: 298 IU/L
AST: 225 U/L
ALT: 290 U/L

A CT scan is performed as seen in Figure A. Which of the following is the most appropriate treatment for this patient?
  • A
  • A