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Exam questionKROK 2Medicine · 2012

A 75-year-old male patient complains of slight pain in the right iliac region. The abdominal pain arose 6 days ago and was accompanied by nausea. Surgical examination revealed moist tongue, Ps- 76 bpm. AP- 130/80 mm Hg. Abdomen was soft, slightly painful in the right iliac region on deep palpation, the symptoms of the peritoneum irritation were doubtful. In blood: RBCs - 4,0 × 1012/l, Hb- 135 g/l, WBCs - 9,5 × 109/l, stab neutrophils - 5%, segmentonuclear - 52%, lymphocytes -38%, monocytes - 5%, ESR - 20 mm/h. Specify the doctor's further tactics:

Answer options

  1. Refer the patient to a district therapist
  2. Administration of additional examination: abdominal ultrasound, x-ray contrast study of the gastrointestinal tract
  3. Send the patient home
  4. Hospitalization, dynamic surveillance
  5. Emergency operation for acute appendicitis
Correct answer

Emergency operation for acute appendicitis

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