Page 271 - 2021 IDMT Digital
P. 271
ACUTE PANCREATITIS
Introduction:
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• 0RVW FDVHV DUH GXH WR
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• 2WKHU SRVVLEOH DVVRFLDWLRQV K\SHUFDOFHPLD K\SHUtriglyceridemia DEGRPLQDO WUDXPD
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• ,QFUHDVHG ULVN IDFWRUV
o 6PRNLQJ
o $EGRPLQDO DGLSRVLW\ REHVLW\
o 2OGHU DJH
• 0RUWDOLW\ or depending on disease severity
• )ROORZLQJ DQ DFXWH HSLVRGH WKH ULVN RI GHYHORSLQJ FKURQLF SDQFUHDWLWLV LV
Subjective:
• 6LJQV DQG 6\PSWRPV
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• )RFXVHG +LVWRU\
o +LVWRU\ RI SUHYLRXV HSLVRGHV RU KLVWRU\ RI ELOLDU\ WUDFW GLVHDVH
o $OFRKRO LQWDNH
Objective:
• 3K\VLFDO ([DP
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o 8SSHU DEGRPLQDO WHQGHUQHVV PRVW RIWHQ ZLWK SHULWRQHDO VLJQV JXDUGLQJ ULJLGLW\
RU UHERXQG
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o 3DOORU FRRO FODPP\ VNLQ
o 0LOG MDXQGLFH
• 7RROV
o /DEV HOHYDWHG SDQFUHDWLF HQ]\PHV DP\ODVH OLSDVH
Assessment:
• 'LIIHUHQWLDO
o $SSHQGLFLWLV KLJK-O\LQJ DSSHQGL[ SDLQ LV XVXDOO\ QRW VXGGHQ DQG VHYHUH
o $FXWH KHSDWLWLV LQIHFWLRQ ZLWK hHSDWLWLV $ % & ' ( XVXDOO\ SUHVHQWV ZLWK MDXQGLFH
DQG YLUDO W\SH V\PSWRPV PDODLVH P\DOJLDV QDXVHD YRPLWLQJ
o 3HUIRUDWHG SHSWLF XOFHU VXGGHQ LQWHQVH SDLQ RYHU HSLJDVWULXP
o $FXWH FKROHF\VWLWLV VWHDG\ VXGGHQ VHYHUH SDLQ LQ 584 ZLWK QDXVHD DQG
YRPLWLQJ H[DP XVXDOO\ KDV D SRVLWLYH 0XUSK\'s VLJQ DQG SRVLWLYH SHULWRQHDO VLJQV
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