USMLE Forum Archives - USMLE Step 2 CK - int.med./GI
int.med./GI
ysemak - 11-06-09 13:40
A 47-y/o alcoholic, presents to the ED complaining of severe midepigastric pain radiating to his back and accompanied by recurrent vomiting. He has a nasogastric tube placed, is kept NPO, and is given IV hydration. Over the next 72 hours, however, his clinical condition continues to deteriorate. Which of the following complications would be most likely to occur?
ysemak - 11-06-09 13:40
A 47-y/o alcoholic, presents to the ED complaining of severe midepigastric pain radiating to his back and accompanied by recurrent vomiting. He has a nasogastric tube placed, is kept NPO, and is given IV hydration. Over the next 72 hours, however, his clinical condition continues to deteriorate. Which of the following complications would be most likely to occur?
The correct answer and explanation will be available after you answer.
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#19
Re: int.med./GI ammulufy - 03-13-10 18:36 My answer is: e.
Probably its a case of severe pancreatitis......hence the most common complication is peritonitis or pleural effusion through the contiguous spread of peritoneal layer to the pleural layer in the thoracic cavity.
#21
Re: int.med./GI mtniharika - 04-30-10 10:21 My answer is: e.
espiratory complications are frequent and are major contributors to the mortality of pancreatitis. Some degree of pleural effusion is almost ubiquitous in pancreatitis. Some or all of the lungs may collapse (atelectasis) as a result of the shallow breathing which occurs because of the abdominal pain. Pneumonitis may occur as a result of pancreatic enzymes directly damaging the lun
#23
Re: int.med./GI babbu5508 - 05-21-10 03:21 My answer is: e.
The diagnostic criteria for pancreatitis are "two of the following three features: 1) abdominal pain characteristic of acute pancreatitis, 2) serum amylase and/or lipase ≥3 times the upper limit of normal, and 3) characteristic findings of acute pancreatitis on CT scan."
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