Question 67 · LEK · Emergencies and acute complications
A patient with decompensated diabetes mellitus and severe ketoacidosis complains of abdominal pain, nausea and vomiting. There are no obvious signs of peritonitis on physical examination. The first-line approach in this patient is:
- A. laparotomy.
- B. minimally invasive exploratory laparoscopy.
- C. detailed abdomen diagnostics (CT, MRI).
- D. appropriate hydration and correction of metabolic disturbances.
- E. none of the above.
Hint
Consider diabetic 'pseudoperitonitis' and what must be done before deciding on invasive diagnostics or surgery.
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