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Old 10-28-2011
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Liver hapatology question

A 58-year-old Russian lady, who is known to have chronic pancreatitis, comes into your office for increasing pain, during the past month. The pain is dull, boring, located in the mid epigastrium, and radiating to the back. She is not able to work because of it. The pain is relieved by hydrocodone. She is also taking pancreatic enzymes and insulin for her diabetes mellitus. She is not taking any other drugs or alcohol, at present. On examination, she is weak and distressed. Her vitals are normal and her laboratory report shows normal glucose, amylase, lipase, WBC count, hemoglobin, and liver function tests. A CT scan shows pancreatic calcifications with a stone impacted in the main pancreatic duct with marked ductal dilatation. What would be the most appropriate next intervention in this patient?

A.
Increase her dose of hydrocodone.
B.
Perform a partial pancreatectomy.
C.
Perform an endoscopic retrograde cholangiopancreatography with removal of the stone and stent insertion.
D.
Increase her dose of pancreatic enzymes.
E.
Celiac plexus nerve block.
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Old 10-28-2011
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a guess again... Perform an endoscopic retrograde cholangiopancreatography with removal of the stone and stent insertion.
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Old 10-28-2011
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Quote:
Originally Posted by sonu.agarwall View Post
a guess again... Perform an endoscopic retrograde cholangiopancreatography with removal of the stone and stent insertion.
yup... you r right
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  #4  
Old 10-28-2011
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gosh thanks..actually i am yet to strt my prep..getting right a few of these means a lot to me...
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