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NBME 21 Answers

nbme21/Block 3/Question#17 (35.4 difficulty score)
A 66-year-old woman with pancreatic cancer ...
Short gastric🔍

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eehTr si ciplsne eivn timsoosr.hb heT hosrt sritgca eivns ranmylol inrad onit the psnilce ueD to teh strmbiooh,s eehrt may eb ufldi upabck and aedinescr susprer,e tgriusnle ni eci.rsav

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submitted by dr.xx(125),
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iaGsrtc vicesra aer efd yb eth rhsot tacgris .vnies


cienfuegos  Add'l UW fun fact is differentiating from gastric varices 2/2 PHTN: Gastric varices: can also be seen w/ splenic vein throbmobis 2/2 chronic panceatitis, pancreatic cancer and abdominal tumors - gause gastric varices only in the fundus (remainder of stomach and esophagus usually not affected vs. PHTN: increased pressure in left gastric vens thus both gastric and esophageal varices) +3  

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submitted by xw1984(1),

Right gastroepiploic V can also be drained into its counterpart on the left, but short gastric V does not have anastomoses, so the varices of short gastric V leads to bleeding.

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submitted by dr.xx(125),
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submitted by sahusema(117),
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Teh uetqsino ssya RAGTCSI sea,icrv ont GHAEPSLOEA c.svaeri yM tiudps abirn. lusP 'Im isnamsug eftl iapleitcsorgpo luodw be a rrtccoe swanre if it was .tilsde

cmun777  While L gastroepiploic would make more sense than the other answers, considering it has an anastomosis (and therefore an outlet for the increased blood) I think it would have much less risk of varices/bleeding than the short gastric would +