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C harcot's triad/ C onjugated bilirubin increase H epatic abscesses/ H epatic (intra/extra) bile ducts O bstruction L eukocytosis A lkaline phosphatase increase N eoplasms G allstones I nflammatory bowel disease (ulcerative colitis) T ransaminase increase I nfection S clerosing
MACHINES : M onitor vital signs A nalgesia/ A ntibiotics C alcium gluconate (if necessary) H 2 blockers I V access/ I V fluids N il by mouth E mpty gastric contents S urgery if required/ S enior review
1. Recurrent abdominal pain radiating to back, lasting hrs to days, precipitated by alcohol.
2. Steatorrhea when 90% of pancreas is destroyed. Increase protein in diet without complications. Increased fat intake will cause further increase in diarrhea.
3. CHO malabsorption is rare
4. Vitamin B12 malabsorption: due to decreased secretion of trypsin. B12 combines with a R-protein in the stomach. If not cleaved by trypsin, it will not bind with IF. Then can not be absorbed in the terminal ileum