1. CLINICAL DISEASE IN
PANCREATITIS
-BY
C.NARESHKUMAR

2. Introduction
Acute Pancreatitis
Chronic Pancreatitis

3. ACUTE PANCREATITIS
 SYMPTOMS
 epigastric pain
 anorexia,nausea
,vomiting
 haemetamesis
& malaena
 fever
 Oliguria

4. SIGNS
 Rebound tenderness,abdominal guarding
 Distended abdomen and
absence of bowel sounds

5. SIGNS
 Features of shock and dehydration
 Tachypnoea with cyanosis
 Collapsed neck veins
 Dry skin , dry mucous membrane

6. SIGNS
 Grey Turner’s sign
 Cullen’s sign
 Fox sign

7. Grey turner’s sign

8. Cullen’s sign

9. SIGNS
 Erythematous nodules
 Purtscher’s retinopathy

10. COMPLICATIONS
 SHOCK
 DIC
 PULMONARY INSUFFICIENCY
 INFECTION
 HYPOCALCEMIA
 COLONIC STRICTURE
 ACUTE RENAL FAILURE

11. COMPLICATIONS
 PANCREATIC PSEUDOANEURYSM
 PSEUDOCYST
 PANCREATIC ASCITES
 PANCREATIC PLEURAL EFFUSION
 SPLEENIC VEIN THROMBOSIS

12. CHRONIC PANCREATITIS
 SYMPTOMS
- Epigastric Pain
exacerbated by alcohol

13. SYMPTOMS
 EARLY FEATURE
- Diarrhoea nd Asthenia
- weight loss
- loss of appetite
- steatorrhea
- malabsorption

14. SYMPTOMS
 LATE FEATURE
-Gross malabsorption
- Diabetes mellitus

15. SIGNS
 Features of jaundice
 Tender hard epigastric mass
 Mallet-Guys sign

16. Mallet-guy sign

17. COMPLICATIONS
 CARCINOMA OF PANCREAS
 PANCREATIC PLEURAL EFFUSION
 PANCREATIC ASCITES
 PSEUDOCYST PANCREAS
 SPLENIC VEIN THROMBOSIS

18. COMPLICATIONS
 COMMON BILE DUCT STRICTURE
 DUODENAL STENOSIS
 PORTAL THROMBOSIS
 PEPTIC ULCER
 PANCREATIC FISTULA
 PANCREATICOENTERIC FISTULA

19. THANK YOU