Scenario
A 72 year old man presents to the emergency department with a two day history of abdominal pain. A CT scan undertaken to investigate recent weight loss and jaundice shows a pancreatic mass lesion. On examination, he is confused and jaundiced with maximal tenderness in the right upper quadrant.
His observations are:
Question
Describe your management. (100%)
Answer
FACEM SAQ Exam 2007.2 – Question 3
- The overall pass rate for this question was 32/77 (41.6%).
- Pass Criteria
- Both examiners felt that this was a very straight forward question that was not well handled by a large number of candidates despite most passing in the end.
- Good answers addressed Early Goal Directed Therapy of sepsis, surgical issues and addressed the issue of ongoing resuscitation in this scenario.
- Features of unsuccessful answers
- Inadequate answers failed to address the above or suggested management inappropriate for this presentation.
About Mike Cadogan
