Pancreas

Juan A. Asensio; Patrizio Petrone; L. D. Britt

doi:10.1007/978-0-387-69012-4_32

Pancreas

Juan A. Asensio, Patrizio Petrone, L. D. Britt

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

You are asked to evaluate a patient who was admitted for alcohol-induced pancreatitis. The patient has had a smoldering course despite aggressive resuscitation and is, currently, febrile and toxic while receiving broad-spectrum antimicrobial therapy. Physical examination demonstrates midepigastric tenderness on moderate palpation. Computed tomography scan findings are consistent for necrotizing pancreatitis. The white blood cell count has increased from 12,000 to 16,000 over the past 48 hours.Which of the following is the most prudent management plan at this time? (A) Continued medical management (B) Peritoneal lavage (C) Computed tomography - directed biopsy of the necrotic tissue for confirmation of infectious etiology (D) Celiotomy (E) Administration of octreotide

Original language	English (US)
Title of host publication	Acute Care Surgery
Subtitle of host publication	Principles and Practice
Publisher	Springer New York
Pages	497-512
Number of pages	16
ISBN (Print)	0387344705, 9780387344706
DOIs	https://doi.org/10.1007/978-0-387-69012-4_32
State	Published - 2007
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1007/978-0-387-69012-4_32

Cite this

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T1 - Pancreas

AU - Asensio, Juan A.

AU - Petrone, Patrizio

AU - Britt, L. D.

PY - 2007

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AB - You are asked to evaluate a patient who was admitted for alcohol-induced pancreatitis. The patient has had a smoldering course despite aggressive resuscitation and is, currently, febrile and toxic while receiving broad-spectrum antimicrobial therapy. Physical examination demonstrates midepigastric tenderness on moderate palpation. Computed tomography scan findings are consistent for necrotizing pancreatitis. The white blood cell count has increased from 12,000 to 16,000 over the past 48 hours.Which of the following is the most prudent management plan at this time? (A) Continued medical management (B) Peritoneal lavage (C) Computed tomography - directed biopsy of the necrotic tissue for confirmation of infectious etiology (D) Celiotomy (E) Administration of octreotide

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BT - Acute Care Surgery

PB - Springer New York

ER -

Pancreas

Abstract

All Science Journal Classification (ASJC) codes

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