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A 22-Year-Old White Male Who Underwent a Laparotomy Two Weeks

Question 297

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A 22-year-old white male who underwent a laparotomy two weeks ago for a perforated appendix, develops a swinging fever, dry cough, and pain in his right shoulder-tip.  His temperature is 38.9 C (102 F) , blood pressure is 120/76 mmHg, pulse is 110/min, and respirations are 20/min.  Examination shows tenderness over the 8th to 11th rib.  Abdominal and rectal examinations are within normal limits.  The WBC count is 14,000/micro-L, with 6% bands.  Which of the following is the best diagnostic test for this patient?


A) Abdominal ultrasound
B) Chest x-ray
C) Abdominal x-ray
D) Liver biopsy

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