A 65-year-old man who is 5 days status post–pancreaticoduodenectomy has ongoing clear output from his surgical drain—a volume of 500 mL over 24 hours and is otherwise recovering uneventfully. Drain amylase is 8000 U/L and serum amylase is 75 U/L. The most appropriate next step in management of this pancreatic fistula is which of the following?
A. Computed tomography scan of the abdomen and pelvis
B. Observation, maintenance of the surgical drain, nothing by mouth (NPO; nil per os), and total parenteral nutrition
C. Broad-spectrum antibiotics
D. Return to the operating room for revision of the pancreaticojejunostomy
E. Observation and maintenance of the drain
Select your answer:
Topics:
Pathogens Muscles and Healthy Body The Teeth Microbes Endodontic Surgery Urinary System Medical Terms Diseases Key Terms Cancer (Bio II) Health Issues Related to Digesting System and Eating Habits Muscles and Movements Deaf Blind Heredity and Living Cells Chronic Diseases Animal Genetics and Nutrition Properties of Hair and ScalpOther quiz:
Patho_Genetics › ViewThe expression of the defect tends to be more uniform than in autosomal dominant disorders.
A. TRUE
B. FALSE
Skin Diseases › View
A patient in his late 50s who suffered from necrotising fasciitis has been reported based on the biopsy results. The patient showed progressive skin lesions indicative of necrotising fasciitis on both the lower extremities. Which is the most immediate treatment for this case?
A. Antibiotics through veins
B. Antibiotics on the skin lesion
C. Anti-inflammatory (steroids)
D. Surgery