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6321 Surgery

False statement concerning the diagnosis and management of retroperitoneal fibrosis include ?

AMost patients present with dull, non-colicky back, flank, or abdominal pain
BEvidence of impaired renal function with an elevated blood urea nitrogen is common
CThe diagnosis is most commonly suggested by intravenous pyelography although contrast studies with CT scan or MRI are useful in fuher defining the disease
DThe prognosis for nonmalignant retroperitoneal fibrosis is grim with progression of disease until death occurring in most patients
Surgery
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6322 Surgery

An 85-year-old man is brought to the hospital with a 2-day history of nausea and vomiting. He has not passed gas or moved his bowels for the last 5 days. Abdominal films show dilated small bowel, no air in the rectum and air in the biliary tree. Which of the following statements is TRUE?

AAir in the biliary tree associated with small-bowel obstruction suggests a diagnosis of gallstone ileus.
BAn enterotomy should be distal to the site of obstruction and the stone should be removed.
CGallstone ileus is more common in the young adults.
DCholecystectomy is contraindicated.
Surgery
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