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 |
|---|---|
| Title of host publication | Acute Care Surgery: Principles and Practice |
| Publisher | Springer New York |
| Pages | 497-512 |
| Number of pages | 16 |
| ISBN (Print) | 0387344705, 9780387344706 |
| DOIs | |
| State | Published - 2007 |
| Externally published | Yes |
Fingerprint
All Science Journal Classification (ASJC) codes
- Medicine(all)
Cite this
Pancreas. / Asensio, Juan A.; Petrone, Patrizio; Britt, L. D.
Acute Care Surgery: Principles and Practice. Springer New York, 2007. p. 497-512.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Pancreas
AU - Asensio, Juan A.
AU - Petrone, Patrizio
AU - Britt, L. D.
PY - 2007
Y1 - 2007
N2 - 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
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
UR - http://www.scopus.com/inward/record.url?scp=84890149291&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84890149291&partnerID=8YFLogxK
U2 - 10.1007/978-0-387-69012-4_32
DO - 10.1007/978-0-387-69012-4_32
M3 - Chapter
AN - SCOPUS:84890149291
SN - 0387344705
SN - 9780387344706
SP - 497
EP - 512
BT - Acute Care Surgery: Principles and Practice
PB - Springer New York
ER -