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  • Pancreatitis

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    Ren Jye Chong
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    Pancreatitis is a serious condition where the pancreas becomes inflamed over a short period of time due to autodigestion by activated pancreatic enzymes. It can be classified as mild, moderate, or severe depending on the presence and degree of organ failure. Clinical features include severe epigastric pain radiating to the back, loss of appetite, respiratory distress, and signs of hemorrhage or bruising. Common causes are alcohol consumption, gallstones, and pregnancy. Investigations include imaging tests like ultrasound and CT scan, blood tests to check serum amylase and lipase levels, and peritoneal lavage. Treatment involves conservative management with analgesics and bowel rest or surgical interventions like drainage of pseudocysts.

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    pancreatitis

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    Pancreatitis is a serious condition where the pancreas becomes inflamed over a short period of time due to autodigestion by activated pancreatic enzymes. It can be classified as mild, moderate, or severe depending on the presence and degree of organ failure. Clinical features include severe epigastric pain radiating to the back, loss of appetite, respiratory distress, and signs of hemorrhage or bruising. Common causes are alcohol consumption, gallstones, and pregnancy. Investigations include imaging tests like ultrasound and CT scan, blood tests to check serum amylase and lipase levels, and peritoneal lavage. Treatment involves conservative management with analgesics and bowel rest or surgical interventions like drainage of pseudocysts.

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    © All Rights Reserved
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    98 views2 pages

    Pancreatitis

    Uploaded by

    Ren Jye Chong
    Pancreatitis is a serious condition where the pancreas becomes inflamed over a short period of time due to autodigestion by activated pancreatic enzymes. It can be classified as mild, moderate, or severe depending on the presence and degree of organ failure. Clinical features include severe epigastric pain radiating to the back, loss of appetite, respiratory distress, and signs of hemorrhage or bruising. Common causes are alcohol consumption, gallstones, and pregnancy. Investigations include imaging tests like ultrasound and CT scan, blood tests to check serum amylase and lipase levels, and peritoneal lavage. Treatment involves conservative management with analgesics and bowel rest or surgical interventions like drainage of pseudocysts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Pancreatitis

    Def:-serious condition where the pancreas become inflamed over a short period of
    time
    -resulting from autodigestion of pancreas by activated pancreatic enzyme
    Classify acute pancreatitis
    Mild

    Moderate
    Severe

    -no organ failure


    -no local or systemic
    complication
    -transient organ failure
    -persistent organ failure

    Clinical features
    1.severe epigastric pain radiating to back
    2.loss of appetite
    3.respiratory distress
    4.peritonitis,hiccups
    5.cyanosis
    6.grey turners sign (hemorrhagic if flanks)
    7.cullens sign (hemorrhagic of umbilicus)
    8.grunwald sign (large bruises due to toxic lesion of vessels)

    Causes of pancreatitis

    -fat necrosis
    -pregnancy

    Investigations
    1.plain x-ray of chest and abdomen
    2.imaging
    -ultrasound
    -CT
    3.serum amylase
    4.peritoneal lavage
    5.blood test
    Treatment
    1.conservative treatment
    2.R regimen
    -relieve pain (analegics/NSAIDs)
    -rest the pancreas
    -resist enzymatic activity
    -rest bowel
    -resuscitation
    -respiratory support
    3.operative treatment
    -endoscopic papillectomy
    -pancreatic debridment
    -internal drainage of pancreatic pseudocyst)

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