View larger version (98K):
|
A 50-year-old woman presented to the emergency department with obtundation and hypotension. She had a 1-month history of slight fever, before which she had been well. On abdominal examination, an immobile, tender, firm mass was palpated to the right of the umbilicus. Laboratory evaluation revealed a white-cell count of 17,200 per cubic millimeter, a serum glucose level of 607 mg per deciliter (33.7 mmol per liter), a blood urea nitrogen level of 70 mg per deciliter (25.0 mmol per liter), and a serum creatinine level of 4.0 mg per deciliter (354 µmol per liter). An abdominal radiograph was obtained. What . . . [Full Text of this Article] |
Previous
