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SMALL INTESTINE AND APPENDIX
Case #8 -
A 55 year old man with wound drainage 6 days postop

DISCUSSION QUESTIONS:
1.) What additional clinical information do you need?
 
Answer 
2.) What physical findings are important?
 
Answer 
3.) What is the likely diagnosis in this patient?  Answer 
4.) What factors may have predisposed to development of a fistula in this patient?
 
Answer 
5.) What tests will you do to determine the location of the fistula?
 
Answer 
7.) What is the definition of a high output fistula?
 
Answer 
8.) What factors may cause this fistula to persist rather than closing spontaneously?
 
Answer 
9.) What are the potential complications of this fistula?
 
Answer 
10.) If the output remains 500-1000 cc daily for two months, should you consider another management strategy?
 
Answer 
11.) What operation would be best for this patient?  Answer 
6.) What is the non-operative management of this fistula?
 
Answer 
 
  The Virtual Patient > Case List > SMALL INTESTINE AND APPENDIX - Case # 8