Acute Pancreatitis.pdf all info is given

All required information is given related acute pancreatitis

1. Acute Pancreatitis
Causes
•
Inflammation
andHemorrhageof
pancreas
due
toauto
digestionof
Pancreaticparenchymaby
itsenzymes
.
•
PrematureactivationofTrypsin
leadstoactivation
of
other
pancreatic
enzymes
.
•
Results
in
liquefactivehemorrhagic
necrosis
of
pancreasand
fat
necrosis
of
Peri
pancreaticfat
.
(
is
Alcohol&Gallstones(mostcommonly
)
di
,
Trauma

2. Clinical Features
Ciii
,
Hypercalcemia
in
Hyperlipidemia
(
v)
Drugs
iris
Scropionstings
.
(
Vii
)
Mumps
cviii
)
RuptureofPost
.DuodenalUlcer
.
in
Abdominal
Painthat
radiates
to
back
.
cii
,
Nausea&
Vomiting
ciii
,
Periumbilical
&Flank
Hemorrhage
(in
SerumLipase
&
Amylase
☒
(
v
)
Hypocalcemia
(
as
cavis
consumed
in
saponification
offat
Necrosis
)

3. ◦
laboratoryFindings
includemarkedlyelevated
serum
amylaseduringfirst
24hrs
.
followedby
(
within
7-2-96hrs)
byrising
serum
lipase
level
.

4. Complications
(
is
shock
dis
Pancreaticpseudocyst
iiii
,
Pancreatic
abscess
(
inDIC&ARDS
PancreaticPseudocyst
:
◦
FormedbyFibrous
Tissue
surroundingliquefactive
Necrosis&
Pancreatic
enzymes
•
Presents
as
an
abdominal
mass
withelevated
serum
amylase
.

5. ◦
Rupture
is
associated
withrelease
of
enzymesintotheabdominalcavity
andHemorrhage
>
<
◦
Diameter
can
varyfrom
2cm
to
30cm

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Treatment
Iii
Antibioticsif
pancreasis
infected
.Iii
)
Iv
fluids
(iii
,
low-fat
diet
or
fasting
.
Civ
)
Pain
Medicine
In
severe
cases:
*
ERCP
*
Gallbladder
surgery(if
gallstones
)
*
Pancreassurgery
(
to
cleanout
fluid
or
deadtissue)
C