Pancreatico-Biliary Problems

  • Jack Pickleman


A 64-year-old previously healthy woman presents to the emergency room with a 2-day history of increasing abdominal pain, nausea, and vomiting. Her temperature is 38.4°C; abdominal exam discloses a tender right upper quadrant mass with local peritoneal signs present. A white blood cell count is 16,400 cells/mina, and a serum bilirubin level is 1.8 mg%. An abdominal ultrasound study discloses gallstones. Treatment should consist of:
  1. A.Medical

    treatment with intravenous fluids, nasogastric tube, and antibiotics only.

  2. B.Medical

    treatment with intravenous fluids, nasogastric tube, and antibiotics, followed by operation in 4–7 days.

  3. C.Medical

    treatment with intravenous fluids, nasogastric tube, and antibiotics, followed by operation in 6–8 weeks.

  4. D.Immediate


  5. E.Cholecystectomy

    following initial resuscitative measures.



Acute Pancreatitis Common Bile Duct Chronic Pancreatitis Acute Cholecystitis Common Bile Duct Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Jack Pickleman
    • 1
  1. 1.Loyola University Stritch School of MedicineMaywoodUSA

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