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16931 Surgery

A 40 year old male brought to the emergency room with a stab injury to the chest.On examination pt is found to be hemodynamically stable. The neck veins are engorged and the hea sounds are muffled .The following statements are true for this pt except –

ACardiac tamponade is likely to be present
BEchocardiogram should be done to rule out pericardial blood
CEntry wound should be sealed with occlusive dressing
DEmergency thoracotomy should be done
Surgery
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16935 Surgery

An adult presented with hematemesis and upper abdominal pain. Endoscopy revealed a growth at the pyloric antrum of the stomach. CT scan showed growth involving the pyloric antrum without infiltration or invasion into surrounding structures and no evidence of distant metastasis. At laparotomy neoplastic growth was observed to involve the posterior wall of the stomach and the pancreas extending 6cm up to the tail of the pancreas. What will be the most appropriate surgical management

AClosure of the abdomen
BAntrectp, u amd vagotomy
CPaial gastrectomy + Distal pancreatectomy
DPaial gastrectomy + Distal pancreatectomy + splenectomy
Surgery
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