Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

37 Years old Lady with epigastric pain radiated to the back2


Answer

1) Acute Pancreatitis

2) Cutaneous sign

- Grey Turner sign (bluish discoloration of flank)
- Cullen sign (bluish discoloration of periumbilical area)


3) use the mnemonic "I GET SMASHED"

- Idiopathic is the MOST common aetiology
- Gall stone is the most common KNOWN aetiology
- Ethanol (alcohol consumption)
- Traumatic pancreatic injury
- Scorpion bite
- Mumps
- Autoimmune disease
- Steroid
- Hypercalcaemia/ lipidemia/trygeliceridemia and hypothermia
- ERCP
- Drugs


4) Complication of acute pancreatitis

a) Systemic
o Shock, cardiac arrythmia
o ARDS
o Renal failure
o DIC
o Hypoglycaemia, hyperglycaemia, hyperlipidaemia
o Paralytic ileus
o Visual distrubance, confusion, irritability, encephalopathy
o Subcutaneous fat necrosis, arthralgia


b) Local
o Acute fluid collection
o Sterile/infected pancreatic necrosis
o Pancreatic abscess
o Pseudocyst
o Pancreatic ascites
o Pancreatic effusion
o Portal/ splenic vein thrombosis
o Pseudoaneurysm


5) Score for assesment of severity

- Modified Glasgow score
- Ranson criteria
- APACHE II

click the image for source of the info. i did not write it myself, just copy paste. however, the information has been checked and true.


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