5 Days Of Fever in Surgery — 52yo Man | General Surgery | SMLE Q#16490
SMLE Question #16490
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 52-year-old man with type 2 diabetes presents with 5 days of fever, chills, and right upper quadrant pain. He has no recent travel history. Blood cultures are drawn. Contrast-enhanced abdominal CT shows a 6 cm rim-enhancing fluid collection in the right hepatic lobe without biliary obstruction. He is started on empiric IV antibiotics. What is the most appropriate next step in management?
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