Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 6
  1. Percutaneous drainage of the abscess via interventional radiology. The patient has a large pyogenic abscess of unknown cause. Observation is insufficient given the patient’s risk for systemic sepsis and the need for drainage. Similarly, while aspiration of a small amount of fluid might yield helpful data, the lesion still needs to be drained. Endoscopic retrograde cholangiopancreatography would not be appropriate given the size of the lesion and the lack of known biliary disease. Percutaneous drainage, by either ultrasound or CT guidance, would be the fastest and least invasive option and would also allow placement of a drainage catheter. Surgical drainage would be reserved for patients who failed percutaneous drainage.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 9/7/07 • kkj