Surgery MCQ Answer 43
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The patient presented has a perforated appendix with a phlegmon, but no abscess. One must routinely provide resuscitation and broad spectrum antiobiotic coverage in this circumstance. As she is not systemically toxic, it would be rational in a nonpregnant patient to treat this patient nonoperatively initially and follow this with interval appendectomy. However, in this circumstance, the risk of preterm labor associated with anesthesia and pelvic inflammation increases with more advanced gestation, so the best decision is to proceed with intravenous hydration, broad spectrum antibiotic coverage and urgent appendectomy.
Category: Surgery MCQs
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