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:
Muscular System Homeostasis Human Circulatory System Anatomy Muscles Beneath the Skin Biochemistry of Diabetes Patho_Genetics EM Spectrum Monoclonal Antibodies Fainting and Nosebleed Bones, Joints and Muscles Careers in Health Care Health-Wellness-Illness Blood Formation and Clotting World Health DayOther quiz:
Bacteria › ViewChemicals that kill bacteria or impede their growth are called
A. toxins
B. vaccines
C. antibiotics
D. antivirals
Genetics › View
In humans, being born with extra fingers (polydactyly) is a dominant trait. If two parents without polydactyly have a child, what is the probability that their child will be born with extra fingers?
A. 0%
B. 25%
C. 50%
D. 100%