TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Ratnapala DN, Lisle D, Munn E, Lambrianides AL
Y1  - 2009/11/16
N1  - 10.1001/archsurg.2009.187-a
JO  - Archives of Surgery
SP  - 1087
EP  - 1087
VL  - 144
IS  - 11
N2  - 
On examination, the patient was in sinus rhythm, was moderately dehydrated, had right-sided abdominal tenderness, and had no organomegaly or palpable masses. Digital rectal examination results were negative for blood. Laboratory tests showed moderate leukocytosis (white blood cell count, 15 600/μL [to convert to ×109per liter, multiply by 0.001]; with an elevated neutrophil count of 13 600/μL), an elevated C-reactive protein level (157 mg/L [to convert to nanomoles per liter, multiply by 9.524]), and an erythrocyte sedimentation rate of 32 mm/h. Arterial blood gas showed no lactic acidosis. Stool culture results were negative for pathogenic growth as well as for Clostridium difficiletoxin. The patient was admitted for resuscitation and investigation.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2009.187-a
UR  - http://dx.doi.org/10.1001/archsurg.2009.187-a
ER  -