A 65-year-old female presents to ED (Emergency
A 65-year-old female presents to ED (Emergency Department). Pt (patient) reports fatigue, weight loss, jaundice, and anorexia. Diagnostic studies: Abdominal CT (computed tomography) with contrast via an intravenous line, ERCP (endoscopic retrograde cholangiopancreatography), and EUS (esophageal ultrasound) were performed. CT scan showed a 5-cm mass on the pancreas; ERCP revealed bile duct obstruction (likely causing the patient’s jaundice) and a stent was placed to open the duct. Examination of tissue via Bx (biopsy) confirmed localized adenocarcinoma. Surgical treatment with a Whipple procedure was recommended. This procedure – involves anastomosis of three components: Pancreatoduodenectomy, Choledochojejunostomy and Gastrojejunostomy were performed. Lymph node removal and cholecystectomy were part of the operative procedure. Despite this extensive procedure and removal of the tumor, the chance of recurrence is high with a cure rate of only 20%. What is the patient’s four signs and symptoms? What three diagnostic studies were performed (use abbreviations)? Did the patient have contrast / intravenous medication for the CT scan? What diagnostic test identified adenocarcinoma? What five organs are involved in a Whipple procedure? What three anastomoses were performed? What caused the patient’s jaundice? How was the bile obstruction repaired? What happened to lymph nodes and the gallbladder? What is the medical term for gallbladder removal? Is there an optimistic prognosis for pancreatic carcinoma? What type of care is provided if curing cancer is not possible, and the goal is to make the patient comfortable? Why will the patient have to monitor blood glucose levels daily? What is a Whipple procedure? Attach a photo of a Whipple Procedure. Image transcription text () Case St X moo Cardiov X (-) Projects x Designe X Applicat X The Coc x Q Beginnir x Q Beginnir X G gastroe: x Homew X G Google | X = Untitled x C A docs.google.com/document/d/1WFreRKWzN8Qqx17tIB7Z3BWclcGqJia… Show more
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