Introduction: One of the most common and serious diseases of the gastrointestinal tract is Acute Pancreatitis. The suddenness of its onset, the illimitable agony which accompanies it, and the mortality attendant upon it, all render it the most formidable of catastrophes Clinicians have largely been unable to predict which patients with Acute Pancreatitis will develop severe disease. Uniformly, severity &scoring systems are cumbersome, typically require 48 hours to become accurate, and when the score demonstrates severe disease, the patient’s condition is obvious regardless of the score 2. Although laboratory testing such as Hematocrit and BUN can assist clinicians, no laboratory test is practically available or consistently accurate to predict severity in patients with AP .Thus, in the absence of any available test to determine severity, close examination to assess early fluid losses, hypovolemic shock, and symptoms suggestive of organ dysfunction is critical. There are very few studies from our country regarding the etiology, assessment of severity, incidence of severe acute pancreatitis and its outcome .This work aims to assess the above factors in a rural setting near Karimnagar, Telangana State, India. Aims & objective: This study was conducted to determine to Study all aspects of the 50 consecutive patients with Acute Pancreatitis attending…
Acute Pancreatitis Clinical Presentation Clinical presentation can be classified into three main categories. The categories include the patients’ major complaints, which are those signs and symptoms which are easily identifiable, finding based on physical examinations as well as those that manifest themselves as a result of complications. The clinical presentation of the disease tends to be dependent on the severity of the inflammation occurring in the pancreas as well as the possibility of…
the above symptoms is Pancreatitis. What Is Pancreatitis? The Pancreas is a large gland located behind the stomach and beside the small intestine. It mainly has two main functions. The first function is the endocrine function which is the production of hormones called insulin and glucagon that is released into the bloodstream. Insulin lowers blood glucose concentrations,…
why? With the presentation of a sudden onset of abdominal pain associated with tenderness to palpation located to the periumbilical area with radiation to the right lower quadrant and without any other significant symptoms, the differential diagnoses for this presentation would include, appendicitis, pancreatitis and a small bowel obstruction. Appendicitis is most commonly associated with the presentation of right lower quadrant abdominal pain 53% specific to the presence of appendicitis…
gallbladder and bile ducts (Mayoclinic.org, 2014). In the HIDA scan, a radioactive chemical is given to Ms. G so that it will act like bile in the liver. The nuclear medicine scanner will follow the injected material to determine how well the “bile” is excreted by the liver, gallbladder and ducts. The result of a low ejection fraction will help determine if the organs are working correctly. 3.) Pancreatitis (ICD9- 577.0): Pain is steady and boring in quality unrelieved by change in…
concretions that are formed in the biliary tract, usually in the gallbladder. Treatment of gallstones depends on the stage of disease of patient1. The signs and symptoms include sporadic and unpredictable episodes, pain that is localized to the epigastrium or right hypochondrium, sometimes radiating to the right scapular tip, nausea, and vomiting2. The presence of persistent tachycardia, fever , hypotension, or jaundice necessitates a search for complications, which may include the following:…
She currently with a long-time boyfriend that she does not use condoms with it. She admits that she had other partners while with her boyfriend. They discussed it and would like STD testing. She is having absolutely no symptoms at this time, including any pain in the vaginal area or the pelvic area, no vaginal discharge. No urinary symptoms. She was tested for Chlamydia and gonorrhea at her physical in April. Medications Fluoxetine 30 mg daily, birth control pill, Concerta 20 mg daily.…
convinces the viewers thought process of remembrance and pain that they experienced. Trigger factor number two, the side effects of Cymbalta can be very brutal if analyzed closely. On RXlist.com the side effects are listed from severe to common. Some of the severe side effects are: nausea, upper stomach pain, itching, decreased appetite, dark urine, clay-colored stools, and jaundice (yellowing of the skin or eyes). The common side effects are: dry mouth, drowsiness, tired feeling, mild nausea,…
today with complaints of malaise, increased somnolence/fatigue, non-productive cough, fever/chills, headache, and generalized myalgia (7/10). Symptoms began yesterday morning, prior to school, and continued to get worse. Patient drank an energy drink around 7pm yesterday and again this morning to increase her energy but was unsuccessful. She took OTC Tylenol last night for other symptoms with no relief. She has been unable to eat because of sore throat and sitting upright makes symptoms worse.…
Case Study A 22 year old female has been brought to the emergency room after fainting at home with complaints of flu-like symptoms for the last eight days (GCU, 2010). She has reported vomiting several times a day and having difficulty keeping food or liquids down. She states she has been “taking more than the recommended dose of antacids to help with nausea symptoms”. She has become dehydrated, so an IV has been placed and fluids have been started. She also has had an arterial blood gas (ABG)…