system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 50-year-old chronic diabetic presents with severe abdominal pain, nausea, vomiting and fever. Abdominal imaging shows the following. What is the next best step in managing this patient?
assistant
The correct answer is  Emphysematous cholecystitis is a life-threatening form of acute cholecystitis More commonly seen in patients with immunosuppression (diabetics) or vascular disease. Radiologically it shows a distended gallbladder with gas in the in the gallbladder wall and lumen (air-fluid levels may be seen). Treatment requires emergency cholecystectomy and broad-spectrum parenteral antibiotic therapy.