A 44-year-old man has a pancreatic fistula that has persisted for 30 days following necrosectomy. The output is 60 mL/day, and there is skin excoriation at the drain exit site. He has been receiving total parenteral nutrition. White blood cell count and C-reactive protein are normal. What should be your treatment plan?
A. Administer somatostatin analogue.
B. Reassure the patient and begin oral intake.
C. Back out the existing drain over 5-7 days.
D. Perform a distal pancreatectomy.
E. Perform endoscopic retrograde cholangiopancreatography (ERCP) with stent placement.
Select your answer:
Topics:
Ankle Injuries Cardio and Resp Disorders Proteins, Amino Acids, & Enzymes Health Systems Health Unit Coordinating Cellular Components Respiratory and Circulatory Structures and Functions of Living Organisms and Genetics Microbes Fungi/Bacteria/Biotechnology Chronic Diseases Nervous, Musculoskeletal Systems, Integumentary Systems Vessels Endodontic Surgery Nerve Injuries in Oral & Maxillofacial SurgeryOther quiz:
Teeth and Microbes › ViewWhat is the other name of canines?
A. (Cutting Teeth)
B. (Tearing Teeth)
C. (Crushing Teeth)
D. (Grinding Teeth)
Human Excretory System › View
Mammals get rid of Nitrogenous waste by producing:
A. Urea
B. Ammonia
C. Uric Acid
D. NO2 gas