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Exam questionKROK 2Medicine · 2021

A 47-year-old man has been ill for 3 days already. Palpation detects a painful inflamed infiltration in his right subcostal region. His body temperature is 38.9°C. Sonography allowed diagnosing him with calculous destructive cholecystitis. Clinical and laboratory data are not indicative of choledocholithiasis. What tactics should be chosen for the treatment of this man?

Answer options

  1. Surgical treatment - cholecystectomy
  2. Choleretics, hepatoprotectors. Corticosteroids
  3. Laparocentesis, abdominal drainage
  4. Monitoring, cholecystectomy if peritonitis starts developing
  5. Complex anti-inflammatory therapy
Correct answer

Surgical treatment - cholecystectomy

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