A 58-year-old man has a long history of dyspepsia for which he - TopicsExpress

A 58-year-old man has a long history of dyspepsia for which he frequently takes over the counter antacids. For the past 2 days his epigastric pain is worse and is constant. Vital signs: oral temperature 99.0◦F, heart rate 110/min, blood pressure 158/90 mmHg. His abdomen is rigid and you note decreased bowel sounds. The x-ray showed in Figure was obtained. Your next step would be to a. Perform an immediate paracentesis. b. Consult surgery for perforated hollow viscus. c. Give oral contrast and take to CT scan for further evaluation. d. Start a proton pump inhibitor and refer to a gastroenterologist. e. Begin high-dose somatostatin therapy and consult gastroenterology.: --DrSudeepKC ans :nimsdrug.blogspot/2014/11/a-58-year-old-man-has-long-history-of.html

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