Chronic obstructive pancreatitis

1. Chronic obstructive pancreatitis
Complaints :-
Chronic pain in egigastrium , irradiation to the back
-Steatorrhoea
-weight loss
-Weakness
-Stool is soft and foul smelling
-Yellow skin
Anamnesis morbi :-
-Chronic Beginning
-1 Mounth
-Analgesics
Anamnesis Vitae:-
-Food rich with protein
-Alcohol
-Spicy food
Physical examination :-
-Visual inspection
-Yellow skin
-Dry skin
Paplation:-
Pain in epigastrium
Percussion:-
Dullness in epigastrium
Auscultation :-

2. No Change
Labaratory test:-
-Leukocytosis with shift formula
-Biochemical : increase bilirubin
Increase alanine
Increase phostatse amylise
Instrumental examination :-
X-Ray : Calsifications or stoons
CT Scan : Pancriatic enlargement and show associated bilary pathology
Ercp (Endoscopy Retrogread colangeiopancriatography) Test : Pancreatic duct we find stoons cysts or
dayation , Chain of lekes
Deffrential Diagnosis :-
Treatment :-
-Plan hospitalization
-Plan operative
-Resection of fibrotic tissue
-Currection of vital function
-Relax