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A 72-year-old man has the sudden onset of suprapubic pain and oliguria. His temperature is 38.0°C (100.4°F), pulse is 100/min, respiration rate is 12/min, and BP is 110/72 mmHg. Abdominal examination is remarkable only for a tender, distended urinary bladder. Which of the following is the most appropriate immediate management of this patient?
(A) plain x-ray of the abdomen
(B) abdominal ultrasonography
(C) urethral catheter
(D) IV furosemide
(E) intravenous pyelogram (IVP)
A 72-year-old man has the sudden onset of suprapubic pain and oliguria. His temperature is 38.0°C (100.4°F), pulse is 100/min, respiration rate is 12/min, and BP is 110/72 mmHg. Abdominal examination is remarkable only for a tender, distended urinary bladder. Which of the following is the most appropriate immediate management of this patient?
(A) plain x-ray of the abdomen
(B) abdominal ultrasonography
(C) urethral catheter
(D) IV furosemide
(E) intravenous pyelogram (IVP)
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