4 Days Of High-grade in Medicine / Internal Medicine — 45yo Man | Infectious Diseases | SMLE Q#17095
SMLE Question #17095
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 45-year-old man presents with 4 days of high-grade fever with chills, progressive right upper quadrant pain, and new-onset jaundice, 10 days after a dental extraction. He appears ill and icteric with right upper quadrant tenderness and mild guarding. Abdominal ultrasound shows a solitary 6-cm hypoechoic lesion in the right hepatic lobe suggestive of a liver abscess. What is the most appropriate initial management?
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