第119回医師B問35
A25-year-old man presented with abdominal pain which started two days ago. Yesterday, the pain was periodic and located around the periumbilical area. Today, the pain is persistent and localized in the right lower abdomen. His body temperature is 37.7℃, pulse rate90/min, blood pressure120/62 mmHg, and respiratory rate16/min. Physical examination shows rebound tenderness at the right lower abdomen. Which one of the following should be performed next?
1
Abdominal CT
✓ 正解
2
Central venou（s CV） catheterization
3
Gastrointestinal endoscopy
4
Magnetic resonance cholangiopancreatography（MRCP）
5
Nasogastric tube insertion
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