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Symptoms & History
Physical
Findings
Stop &
Think
Lab and
X-Ray
Differential Diagnosis
The
Disease
Treatment
Conclusions
Quiz &
Evaluation |
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Mr. Stein's clinical situation
improved dramatically after his sphincterotomy
and release of the impacted stone.
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The pain, nausea and scleral icterus
are gone.
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His labs are improving, but things
are not normal yet.
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The surgeon has reviewed his case,
talked with him, and they've decided the gallbladder goes.
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His surgery will have to wait until
his pancreas cools off, several weeks in all likelihood.
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His fasting blood sugars have not
been elevated, so hopefully his pancreas is still in good shape. Time will tell.
The take
home message.
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