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 42-year-old woman comes to the physician because of episodic abdominal pain and fullness for 1 month. The pain extends from the epigastrium to the right upper quadrant. Episodes last up to 2 hours and are not aggravated by eating. She describes the pain as 5 out of 10 in intensity. She has severe nausea and had 6 episodes of vomiting over the last 3 days. She works as an assistant at an animal shelter, helping to feed and bathe the animals. Her temperature is 37.3°C (99.1°F), pulse is 87/min, and blood pressure is 100/60 mm Hg. Examination shows a palpable 4-cm, smooth mass below the right costal margin; it is nontender and moves with respiration. The remainder of the examination shows no abnormalities. Laboratory studies show:
Hemoglobin 13.2
Leukocyte count 6800/mm3
Segmented neutrophils 60%
Eosinophils 6%
Lymphocytes 30%
Monocytes 4%
Bilirubin (total) 0.9 mg/dL
An ultrasound image of the abdomen shows a unilocular cyst 4 cm in diameter with daughter cysts within the liver. Which of the following is the most appropriate next step in management?"
assistant
Oral albendazole