LEK Exam: 2019 sesja wiosenna, subject: Chirurgia, question nr: 14

A 35-year-old patient came to the ED complaining of a sever epigastric pain. The symptoms have lasted for over a dozen hours. Laboratory tests showed increased WBC, CRP and bilirubin concentration, decreased calcium ion concentration, increased activity of aminotransferases, amylase, lipase, LDH, GGTP and basic phosphatase. Abdominal ultrasound imaging showed a distension of intrahepatic bile ducts and blurred pancreatic outline. Indicate the correct management of this patient:

A. suspicion of acute hepatitis and diagnostics directed at a viral infection.

B. diagnosis of the perforation of a peptic ulcer and urgent laparotomy.

C. diagnosis of acute pancreatitis related to cholelithiasis and the preparation of the patient for ERCP.

D. suspicion of an aortic rupture based on the blurred outline of the pancreas.

E. presented data are too scarce to formulate the diagnosis.

Dział: Chirurgia

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