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Pancreatitis › ViewA 52-year-old woman has had acute pancreatitis due to gallstones. Six weeks later, she has persistent nausea and is unable to eat. A CT scan shows that the inflammation have resolved, but there is a 10 cm pancreatic pseudocyst posterior to the stomach which is displacing it anteriorly. MRCP shows communication between the pancreatic duct and the pseudocyst. The most appropriate management is
A. pseudocyst-gastrostomy with cholecystectomy
B. percutaneous aspiration
C. continue total parenteral nutrition for 3 more weeks
D. administer somatostatin analogue
E. perform pancreatic duct stenting
Pathophysiology › View
Why is anaerobic metabolism unhealthy for the human body?
A. the byproducts are carbon dioxide and water, which are dangerous
B. it affects the fluid balance of the cells and cell membranes stop working
C. the byproducts include lactic acid which can cause a toxic environment for the cells
D. it produces heat and carbon monoxide which is dangerous to the cell