QUESTION OF THE DAY FOR STEP 2 CK.. A 75-year-old white man - TopicsExpress

QUESTION OF THE DAY FOR STEP 2 CK.. A 75-year-old white man complains to a physician of abdominal pain. His temperature is 37 C (98.6 F), BP is 110/65 mm Hg, pulse is 63/min, and respirations are 16/min. The abdomen is soft, with focal tenderness in the left lower quadrant. His erythrocyte count is 4.5 million/mm3, leukocyte count is 9000/ mm3 with 60% neutrophils and 5% bands, and platelet count is 250,000/ mm3. Serum chemistries show: Sodium 140 mEq/L Potassium 5 mEq/L Chloride 102 mEq/L Creatinine 1.1 mg/dL Urea nitrogen 12 mg/dL Which of the following is the most appropriate next step in diagnosis? A. CT of abdomen B. Liquid diet C. Plain film of abdomen D. Barium enema E. Colonoscopy

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