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General Medicine General c2c0ce16

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?

A
IV fluids, penicillin, and steroids
B
IV fluids, cefoxitin, and nasogastric drainage
C
IV fluids, blood transfusion, and laparotomy
D
immediate laparotomy

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