Perforated Diverticulitis in Surgery — 55yo Woman | General Surgery | SMLE Q#16428
SMLE Question #16428
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 55-year-old woman is in the surgical ICU on postoperative day 2 after a Hartmann procedure for perforated diverticulitis. Over the last 6 hours, her urine output has decreased to 20 mL/hour. She has new bilateral lower-limb edema. She has a urinary catheter in situ. Serum creatinine has risen from baseline, and urea is elevated. What is the most appropriate next step in management?
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