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8th July 2024
You are reviewing a 42 year old with fever, abdominal pain and vomiting. He is on peritoneal dialysis twice a day
You are reviewing a 42 year old with fever, abdominal pain and vomiting. He is on peritoneal dialysis twice a day, 6 days a week. He noticed pus from the catheter exit site 2 days ago. An acute surgical abdomen has been excluded. Observations are as follows:
| Blood Pressure | 110/60 mm HG |
| Heart Rate | 108 /min |
| SpO2 | 96% on RA |
| Temperature | 38.1 ⁰C |
Laboratory analysis:
| Haemoglobin | 12.0 g/dl | Sodium | 135 mmol/dl |
| White Blood Corpuscles | 12.2 x 10^6 | Potassium | 5.4 mmol/dl |
| Platelets | 360 x10^6 | Corrected Calcium | 2.42 mmol/dl |
| Creatinine | 368 mmol/dl | Phosphate | 1.7 mmol/dl |
| Urea | 27.8 mmol/dl | CRP | 50.3 mg/l |
| Albumin | 31 mg/l | Glucose | 5.1 mmol/dl |
What is the best treatment option given the likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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