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Barium swallow: The patient swallows a solution while a fluoroscope allows the physician to observe the opaque fluid going through the esophagus, stomach and intestines. These hormones are released after a meal and stimulate the pancreas to produce insulin. Cultures of blood, urine, and cerebrospinal fluid should be obtained, and treatment with ampicillin and gentamicin, with or without cefotaxime (Claforan), should be started as soon as possible. Exercise judgment: not an impulse is seen because with incurable patients who use thromboprophylactic measures.

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