09-11-2007, 03:41 PM
A 74-year-old man complains of lower abdominal pain. He has become aware of a periumbilical mass during that time. His past medical history is significant for hypertension and type 2 diabetes. He has a history of diverticulitis 1 year ago. On physical examination, he is afebrile and appears mildly uncomfortable. On abdominal examination, there is a palpable mass extending from the pubic ramus to the umbilicus with a smooth contour. Laboratory results reveal a BUN of 14 mg/dL and a creatinine of 1.8 mg/dL. Which of the following is the most appropriate next step in the management of this patient?
A. Masturbation
B. Ureteral catheterization
C. Abdominal sonogram
D. Abdominal and pelvic CT scan
E. Percutaneous nephrostomy
A. Masturbation
B. Ureteral catheterization
C. Abdominal sonogram
D. Abdominal and pelvic CT scan
E. Percutaneous nephrostomy