Chapter 41 Liver Diseases and Hepatitis Infections Sample Questions
1. DV, 50 years old, presented to his family physician with symptoms that include fever, confusion, abdominal pain accompanied by feeling of fullness. The patient reported that he has been vomiting with diarrhea and low urine output. The doctor reviewed patient’s record which indicates that he has chronic liver disease. Laboratory tests were then ordered taking samples of blood for culture and peritoneal fluid for culture and polymorphonuclear (PMN) cell count. WBC and PMN were both elevated and culture revealed the presence of bacteria which confirmed spontaneous bacterial peritonitis (SBP). This is DV’s first episode. His doctor should monitor his condition and should do which of the following?
- A. Give him conventional dose of antibiotics to treat his peritonitis.
- B. Give him high dose of combined antibiotic.
- C. Refer the patient to the intensive care unit for further assessment and investigation
- D. Use prophylactic treatment after a first episode
Ans:
A
Tips: Blood test and peritoneal fluid analysis are done to determine the level of WBC and PMN and look for the presence of bacteria in blood and ascetic fluid through culture test. Elevation of WBC and PMN and positive culture result confirm SBP infection.
Save My Preference