USMLE Forum Archives - USMLE Step 3 - sigmoidoscopy
sigmoidoscopy
philomena - 01-07-12 16:11
A 68-year-old woman, who underwent flexible sigmoidoscopy 6 hours ago in the office as part of routine screening, returns to the office because of left lower quadrant abdominal pain, fever, nausea, and vomiting. During the procedure, a 3-cm polyp was found in the sigmoid colon and was removed. Vital signs now are temperature 38.1°C (100.6°F), pulse 110/min, respirations 26/min, and blood pressure 120/60 mm Hg. Abdominal examination discloses bowel sounds, and tenderness and guarding in the left lower quadrant. Rectal examination shows no stool and tenderness only superiorly. Which of the following is the most appropriate next step?
philomena - 01-07-12 16:11
A 68-year-old woman, who underwent flexible sigmoidoscopy 6 hours ago in the office as part of routine screening, returns to the office because of left lower quadrant abdominal pain, fever, nausea, and vomiting. During the procedure, a 3-cm polyp was found in the sigmoid colon and was removed. Vital signs now are temperature 38.1°C (100.6°F), pulse 110/min, respirations 26/min, and blood pressure 120/60 mm Hg. Abdominal examination discloses bowel sounds, and tenderness and guarding in the left lower quadrant. Rectal examination shows no stool and tenderness only superiorly. Which of the following is the most appropriate next step?
The correct answer and explanation will be available after you answer.
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