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209 Anaesthesia

A 45-year-old woman undergoes an uneventful laparoscopic cholecystectomy for which she receives 1 dose of cephalosporin. One week later, she returns to the emergency room with fever, nausea, and copious diarrhea and is suspected of having pseudomembranous colitis. She is afebrile and has no peritoneal signs on abdominal examination. She has a mild leukocytosis with a left shift. Which of the following is the appropriate initial management strategy?

AAdministration of an antidiarrheal agent
BExploratory laparotomy with left hemi-colectomy and colostomy
CExploratory laparotomy with subtotal abdominal colectomy and ileostomy
DAdministration of oral metronidazole
Anaesthesia
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