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10471 Surgery

A 55-year-old woman presents with pain in the LLQ of the abdomen and fever of 102degF. On examination, she is found to be dehydrated and has tenderness in the LLQ. A CT scan shows a mass in the LLQ involving the sigmoid colon. There is a minimal amount of free fluid and no free air. What should the initial treatment of this patient include?

AIV fluids, penicillin, and steroids
BIV fluids, cefoxitin, and nasogastric drainage
CIV fluids, blood transfusion, and laparotomy
Dimmediate laparotomy
Surgery
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