Presentation
Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP. [books.google.de]
Diabetes is the most common of the endocrine diseases; it presents in many ways, and has varied etiologies. [books.google.com]
Indolent Presentation of Pancreatic Abscess: Experience With 100 Cases. Archives of Surgery, 123 (9), 1067-1072. [jhu.pure.elsevier.com]
In the case presented above, the scrotal swelling appeared after the diagnosis of acute pancreatitis had been established, but it is to be emphasized that patients with acute pancreatitis can present with an inguinoscrotal swelling alone and the diagnosis [pancreas.imedpub.com]
The present case report, to our knowledge, is the first to describe clinical and laboratory evidence of pyelonephritis secondary to partial obstruction of the right upper renal tract by an extrapancreatic phlegmon. [karger.com]
Entire Body System
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Gangrene
[…] swollen, inflamed mass of pancreatic tissue occurring as a complication of acute pancreatitis. phleg·mon ( fleg'mŏn ), Spreading inflammation resulting from streptococcal infection that may extend beneath the skin and muscles and may produce pus or gangrene [medical-dictionary.thefreedictionary.com]
Spreading inflammation resulting from streptococcal infection that may extend beneath the skin and muscles and may produce pus or gangrene. Found on No exact match found [encyclo.co.uk]
(Science: dermatology) a spreading, diffuse inflammatory reaction to infection with microaerophilic streptococci, which forms a suppurative or gangrenous and undermining lesion that may extend into deep subcutaneous tissues and muscles, creating multiple [biology-online.org]
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Streptococcal Infection
adj phleg monous. pancreatic phlegmon a solid, swollen, inflamed mass of pancreatic tissue occurring as a complication of acute pancreatitis. phleg·mon ( fleg'mŏn ), Spreading inflammation resulting from streptococcal infection that may extend beneath [medical-dictionary.thefreedictionary.com]
Spreading inflammation resulting from streptococcal infection that may extend beneath the skin and muscles and may produce pus or gangrene. Found on No exact match found [encyclo.co.uk]
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Hyperthermia
The results of the treatment were evaluated by clinical, laboratory, sonography, rentgenotomograficheskie: improved the General condition, were stopped hyperthermia, decreased the level of molecules of average weight, decreased area of destruction in [russianpatents.com]
On physical examination, the patient may show tachycardia, tachypnea, hypotension, and hyperthermia. The temperature is usually only mildly elevated in uncomplicated pancreatitis. [intechopen.com]
Gastrointestinal
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Epigastric Pain
Eighteen patients (56%) had 30 documented episodes of pancreatitis with epigastric pain and elevated serum amylase levels. [insights.ovid.com]
These images are of a patient who presented with acute severe epigastric pain very suggestive of acute pancreatitis. However the amylase level was within normal levels. A CECT was performed. The findings are: Most of the pancreas is normal. [radiologyassistant.nl]
pain Constant in nature and radiates through to back Patients are often pyrexial and dehydrated Tenderness may be localised to epigastrium or generalised Differential diagnosis includes Perforated peptic ulcer Acute cholecystitis Mesenteric ischaemia [wikilectures.eu]
Back to Top Signs and Symptoms Acute pancreatitis manifests with the sudden onset of epigastric pain radiating to the back. The pain may be severe and worsens after meals. [teachmemedicine.org]
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Abdominal Pain Radiating to the Back
CASE REPORT A 60 year old farmer, a known diabetic and hypertensive with chronic renal failure presented to the Emergency Department with a 2 day history of vomiting and abdominal pain radiating to the back. He was a chronic consumer of alcohol. [pancreas.imedpub.com]
Definitions Definition of acute pancreatitis Two out of three features are required for diagnosing acute pancreatitis: (i) acute onset upper abdominal pain radiating to the back, (ii) serum lipase or amylase three or more times than the normal range and [academic.oup.com]
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Periumbilical Pain
Sx of pancreatitis: Epigastric or periumbilical pain, often radiates to the back as well as to the cheest, flanks, & lower abd. The pain is more intense when pt is supine, often less by sitting with the trunk flexed & knees drawn up. [enotes.tripod.com]
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Regurgitation
Wooley, MD Advances and diagnostic imaging in a surgical technique have changed the approach to mitral valve regurgitation. This chapter provides an expert's perspective. [books.google.de]
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Abdominal Mass
Patients with phlegmon had a higher incidence of severe pancreatitis as defined by Ranson's criteria, presence of an abdominal mass, as well as a longer duration of fever, abdominal pain and leukocytosis than controls without CT scans. [ncbi.nlm.nih.gov]
Liver, Gall & Pancreas
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Pancreatic Pain
Symptoms Abdominal pain is the main symptom of pancreatitis. Pain is sharp and it is often described as “knife stabbing”. [ic.steadyhealth.com]
pain, colonic obstruction, perforation, and flank abscess (n 1 each)) Successful endoscopic therapy in 43 (81%) and persistence of WOPN in 10 (19%). [1pdf.net]
Skin
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Purpura
Case 3 Thrombotic Thrombocytopenic Purpura. .. .. .. ... 51. .. Donald E. Thornton, MD Earl N. Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP. [books.google.de]
Hereditary pancreatitis Infections: mumps, viral hepatitis, mycoplasma, other virus, parasites Connective tissue disorders with vasculitis: Lupus, Necrotizing angiitis, TTP, Schonlein Henoch purpura Drug associated pancreatitis: * Definite association [enotes.tripod.com]
Workup
A challenging part in the workup of a pancreatic pseudocyst is the exclusion of an infection. High-grade fever is unlikely in pancreatitis. Air-fluid level on CT scan will help identify an infected pancreatic pseudocyst. [online.epocrates.com]
They’ll also order tests, which may include: blood workup urine analysis ultrasound X-ray MRI CT scan To distinguish among cellulitis, abscess, and phlegmon, your doctor may use intravenous gadolinium with MRI to show the outline of an abscess “wall” [healthline.com]
Serum
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Amylase Increased
Urine amylase increased levels appear due to an increased glomerular filtration of serum amylase levels combined with a decreased tubular reabsorbtion. Serum amylase and lipase levels are typically elevated in persons with acute pancreatitis. [tmj.ro]
Treatment
Imanaliev // Echotomography in the diagnosis and treatment of acute pancreatitis // M, 1995, S. 68 / - similar, he is the prototype. [russianpatents.com]
Links: pancreatitis General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. [gpnotebook.co.uk]
Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 394 من الصفحات Provides findings on acute pancreatitis in the fields of morphology, epidemiology, pathophysiology, enzymatic and in- strumental diagnosis, clinical aspects and pharmacological and surgical treatment [books.google.com]
The bleeding stopped spontaneously in all but one patient in the conservative-treatment group. [nejm.org]
Prognosis
Disorders of the endocrine pancreas can be highly complex, and sophisticated tests are needed to determine the nature of the disease, its prognosis, and its optimal treat ment. [books.google.com]
Value of contrast-enhanced computerized tomography in the early diagnosis and prognosis of acute pancreatitis. Am J Surgery. 1988; 155: 457-466 (Table I, page 458). [meducator3.net]
[Reference 119] Acute pancreatitis: value of CT in establishing prognosis. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Radiology 1990; 174:331-6. [joplink.net]
Octreotide may decrease recurrence - large or complicated: usually surgical drainage but catheter drainage can be used for pseudocyst infection Prognosis Overall mortality in severe acute pancreatitis 30%. [aic.cuhk.edu.hk]
Contrast-enhanced computed tomography is considered the diagnostic standard for radiologic evaluation of acute pancreatitis because of its success in predicting disease severity and prognosis. [aafp.org]
Etiology
Diabetes is the most common of the endocrine diseases; it presents in many ways, and has varied etiologies. [books.google.com]
The age, sex, and presumed etiology of the pancreatitis were not significantly different in the four groups. [ncbi.nlm.nih.gov]
It takes into account basic etiological factors of the disease, which are necessary to choose diagnostic and surgery therapeutic tactics. 2. [cyberleninka.ru]
Indications for Laboratory and Radiologic Testing in Pancreatitis Indication Test Diagnosis Complete blood count Comprehensive metabolic panel Lipase level Diagnosis/etiology Contrast-enhanced computed tomography Ultrasonography Etiology (suspected gallstone [aafp.org]
Epidemiology
Beger, Markus Büchler Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 394 من الصفحات Provides findings on acute pancreatitis in the fields of morphology, epidemiology, pathophysiology, enzymatic and in- strumental diagnosis, clinical aspects and pharmacological [books.google.com]
Epidemiologic Risks Severe pancreatitis often goes on to become complicated by infection of the phlegmon and abscess formation. [pusware.com]
[…] junction ( Arch Pathol Lab Med 1985;109:433 ) Infected pancreatic necrosis: secondary infection of necrotic foci Postoperative pancreatitis: due to trauma of exploration of common bile duct, gastric resection, papillary stenosis plus sphincterotomy Epidemiology [pathologyoutlines.com]
[…] determination for amylase; urinary output of amylase may still be high One should inspect the serum of every patient with acute abdominal pain, because if it is lactescent, pancreatitis will almost always be the correct diagnosis Infection Vascular anomalies Epidemiology [wikilectures.eu]
Pathophysiology
Beger, Markus Büchler Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 394 من الصفحات Provides findings on acute pancreatitis in the fields of morphology, epidemiology, pathophysiology, enzymatic and in- strumental diagnosis, clinical aspects and pharmacological [books.google.com]
We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management. [books.google.de]
Pathophysiology of abdominal pain and pain syndromes. Gastrointestinal diso [sidalc.net]
[…] alcoholism Note: 1/3 to 2/3 of patients have gallstones but only 5% with gallstones develop pancreatitis 75% of gallstone related cases occur in women 86% of alcohol related cases occur in men Alcoholism associated: 2/3 of all cases in US, 5% in UK Pathophysiology [pathologyoutlines.com]
Maunder RJ, Pierson DJ, Hudson LD: Subcutaneous and mediastinal emphysema, pathophysiology, diagnosis and management. Arch Intern Med 1984; 144: 1447-53. [content.sciendo.com]
Prevention
Dispatcher life expectancy for type 1 diabetes, it is clear and light-colored, foamy urine may or may not be prevention refers to prevents the definition, risk factors Get 12-24 hour non-drowsy relief whenever your allergy symptoms flare up. [tourpoland.eu]
Fluconazole for prevention of Candida also supported in some studies. Data to support this practice is marginal and contradictory. I bet we need more studies. [pusware.com]
One of the best eating strategies for disease prevention and weight loss is Omada and Prevent your risk of type 2 diabetes and heart disease should be Compression Socks For Diabetics :: Diabetes Symptoms Pregnancy – The 3 Step Trick that Reverses Diabetes [ardogeenacottage.eu]
Abscesses and phlegmons can be localized by the clinical findings, ultrasound, x-rays, computer tomography and MRI and immediate surgical treatment is necessary to prevent further spreading. [glosbe.com]