63

Published on 03/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 03/05/2015

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CASE 63

image

History: A 42-year-old man presents with acute right lower quadrant abdominal pain and tenderness.

1. Which of the following should be included in the differential diagnosis of the right lower quadrant calcification shown in Figure A? (Choose all that apply.)

A. Phlebolith

B. Diverticolith

C. Appendicolith

D. Ureteric calculus

E. Lymph node calcification

2. Which of the following statements regarding appendicoliths is true?

A. An appendicolith is visible in the majority of cases of appendicitis.

B. Appendicitis occurs as a result of an appendicolith obstructing the appendix.

C. The presence of an appendicolith is pathognomonic of appendicitis.

D. They are composed of inspissated fecal debris, mucus, calcium phosphate, and inorganic salts.

3. Which of the following statements regarding appendicitis is true?

A. The optimal management is surgical.

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