A 50 years old male undergoes pancreatectomy for carcinoma head of pancreas. His pre op Hb was 92g/L and during surgery he received 5 units of PRBC. In the post op period on the 2nd day he developed ECG changes. Work up is done for Myocardial infarction which is negative. What is the most common cause of ECG changes here: ()
A. Hyponatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypernatremia
E. Hypercalcemia
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When a surgeon try to perform radical gastrectomy for malignancy, what does the D2 dissection mean?()
A. To dissect two lymph nodes
B. To dissect station NO.2 regional lymph nodes
C. To dissect tier 2 regional lymph nodes
D. To exam the second lymph nodes
E. Two regional lymph nodes have to be dissected
As to the treatment of acute obstructive suppurative cholangitis, which is the top priority to perform? ()
A. Prophylactic antibiotics
B. To treat shock
C. Biliary duct decompression
D. Cholecystectomy
E. Fluid resuscitation
A Murphy’s sign suggests ()
A. appendicitis
B. ectopic pregnancy
C. metastatic gastric cancer
D. cholecystitis
E. diverticulitis
Try to point out which statement is not the surgical resection indication of asymptomatic gallbladder stone?()
A. Stone is larger than 1cm
B. Stones history is longer than ten years
C. Porcelain gallbladder
D. Multiple stones
Elderly patients