This document discusses acute pancreatitis. It begins by defining pancreatitis as an inflammation of the pancreas and describing its two types - acute and chronic. Acute pancreatitis develops suddenly and is a short-term inflammation, often caused by gallstones or heavy alcohol use. The document then provides details on the pancreas, its location, functions including exocrine and endocrine secretions, and regulation. It describes the pathophysiology, signs and symptoms, laboratory findings, treatment and diet for a case of acute pancreatitis in a 30-year old male patient.
ANATOMY AND PHYSIOLOGY OF PANCREAS PPTX.Saili Gaude
This lecture includes the anatomy of pancreas, structure of pancreas, parts of pancreas, its enzymes, trypsin, proteas and lipase and amylase, its functions, common bile duct, ucinate process, location of pancreas, pancreatic acinar cells, islet of langerhans and physiology of pancreas
The pancreas arises from the embryonic foregut.
a.The EXOCRINE:pancreas excretes enzymes and bicarbonate to the duodenum.
b.The ENDOCRINE pancrease secretes hormones to the circulation.
Acinar cells (forming most of the pancreas) have Exocrine function
Secrete digestive enzymes
Islet cells (of Langerhans) have Endocrine function.
Blood glucose must be tightly regulated
Normally, insulin and glucagon work together to ensure it is
Problems arise when this regulation fails
A case study on Pangastritis with pancreatitis martinshaji
this case study describes about Pangastritis with pancreatitis , which details about the treatment, management , diagnosis, patient counselling, pharmacist interventions & discussions are followed in this case .
please comment
thank u
martinsuja369@gmail.com
Assessment Of Pancreatic Hormones In Diabetes Mellitus & Non-diabetes Mellitu...Rahul Gautam
Assessment Of Pancreatic Hormones In Diabetes Mellitus & Non-diabetes Mellitus Patient: A Case-Control Study done on the group of people with unknown status.
ANATOMY AND PHYSIOLOGY OF PANCREAS PPTX.Saili Gaude
This lecture includes the anatomy of pancreas, structure of pancreas, parts of pancreas, its enzymes, trypsin, proteas and lipase and amylase, its functions, common bile duct, ucinate process, location of pancreas, pancreatic acinar cells, islet of langerhans and physiology of pancreas
The pancreas arises from the embryonic foregut.
a.The EXOCRINE:pancreas excretes enzymes and bicarbonate to the duodenum.
b.The ENDOCRINE pancrease secretes hormones to the circulation.
Acinar cells (forming most of the pancreas) have Exocrine function
Secrete digestive enzymes
Islet cells (of Langerhans) have Endocrine function.
Blood glucose must be tightly regulated
Normally, insulin and glucagon work together to ensure it is
Problems arise when this regulation fails
A case study on Pangastritis with pancreatitis martinshaji
this case study describes about Pangastritis with pancreatitis , which details about the treatment, management , diagnosis, patient counselling, pharmacist interventions & discussions are followed in this case .
please comment
thank u
martinsuja369@gmail.com
Assessment Of Pancreatic Hormones In Diabetes Mellitus & Non-diabetes Mellitu...Rahul Gautam
Assessment Of Pancreatic Hormones In Diabetes Mellitus & Non-diabetes Mellitus Patient: A Case-Control Study done on the group of people with unknown status.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Pancreatitis
● Pancreatitis is an inflammation of the organ called pancreas lying behind the
lower part of the stomach (pancreas).
● Pancreatitis may start suddenly and last for days or it can occur over many
years. It has many causes, including gallstones and chronic, heavy alcohol use.
It can either be:
➔ Acute: Short-term inflammation and develops suddenly.
➔ Chronic: Prolonged & frequently lifelong disorder resulting from the
development of fibrosis within the pancreas.
3. Pancreas
● The pancreas (pan= all, kreas = flesh) is a gland that is partly
exocrine and partly endocrine. The exocrine part secretes the
digestive pancreatic juice, and the endocrine part secretes
hormones, eg. Insulin.
● It is soft, lobulated and elongated organ.
4. Location of Pancreas
The pancreas Lies more or less
transversely across the posterior
abdominal wall, at the level of
first and second lumbar
vertebrae.
5. The pancreas is divided into 4 general regions :-
● The head
● Neck
● Body
● Tail
7. Exocrine Secretion
● Exocrine activities consist of the production of enzymes that are part of the
alkaline pancreatic juice and support the digestion of food in the intestine.
● The composition of pancreatic juice includes enzymes that digest proteins, fats,
CHO and nucleic acid as well as electrolytes, small amount of mucus.
● Digestion of protein: proteolytic enzymes (trypsin, chymotrypsin,
carboxypeptidase and elastase).
● Digestion of Fats: Lipase, Phospholipase and esterase.
● Digestion of CHO: Lactase and Amylase.
8. Regulation of Pancreas
Stimulated by the parasympathetic system and inhibited by the sympathetic
system.
● Stimulation occurs when we see, smell or taste food, or when the stomach wall
is stretched.
● Gastric acid is the stimulus for the release of secretin from the duodenum,
which stimulates the secretion of water and electrolytes from pancreatic ductal
cells.
● Release of cholecystokinin (CCK) from the duodenum and proximal jejunum
is triggered by Long chain fatty acid (LCFA), certain essential amino acids and
gastric acid itself.
● CCK evokes an enzyme-rich secretion from acinar cells in the pancreas.
10. Endocrine Secretions
● Distributed throughout the gland are groups of specialised cells called the
pancreatic islets (islets of langerhans).
● The islets have no ducts so the hormones diffuse directly into the blood.
● Pancreatic endocrine cells regulate carbohydrate, fat, protein metabolism:
● Alpha cells - glucagon
Beta cells - insulin
Delta cells - gastrin and somatostatin
F cells - pancreatic polypeptide
12. Acute Pancreatitis
Acute condition is a condition in which activated pancreatic enzymes leak into the
substance of the pancreas and initiate the autodigestion of the gland.
13. Pathophysiology
● The pancreas secretes the digestive enzymes as proenzymes which are
activated in the intestinal lumen.
● Acute pancreatitis results when activation occurs in pancreatic dust system or
acinar cells. May include edema or obstruction of the ampulla of vater resulting
in reflux of bile into pancreatic ducts or direct injury to the acinar cells.
● The pancreas show edema and necrosis. The release of enzymes lead to fat
necrosis both in the pancreas and in the peritoneal cavity.
● Premature activation of trypsinogen into trypsin while it is still in pancreas.
Resulting in auto digestion of the pancreas.
17. Patient Profile
● Name: XYZ
● Age: 30Yrs.
● Sex: Male
● Weight: 82Kgs.
● Height: 170 cms
● Occupation: Bank Service
● Type of Work: Sedentary
● Patient was habitual with drinking alcohol since 1-2yrs. & Consumption of
outside food.
18. Clinical Symptoms
● Pain in abdomen over epigastric region.
● 4-6 episodes of vomiting.
● Irregular bowel movements.
Laboratory Reports contd.
20. Treatments
● IV Fluids
● IV Analgesia
Medications
DRUGS DOSAGE USES
INJ PAN 40 mg To reduce excessive acid production in the stomach
INJ EMET 4 mg To control nausea and vomiting
INJ
BUSCOPAN
20 mg Treating a pain due to smooth muscles and irritable bowel
syndrome
INJ PCM 1 gm To treat aches and pains
INJ
TRAMADOL
50 mg to treat moderate to severe pain that is not being relieved
by other types of pain medicines.
INJ
THIAMINE
250 mg For the treatment of low levels of thiamine in the body
INJ
OPTINEURON
1 amp +
100 ml
NS
prescribed to treat nutritional deficiencies as well as
vitamin B12 deficiency
INJ REGLAN 10 mg to treat heartburn caused by gastroesophageal reflux in
people who have used other medications without relief.
21. Requirements
● Energy: since case is overweight 20 kca/kg ABW /day is required to patient. , 82 × 20 = 1640 kcal/day
● Protein: 1gm/kg IBW/ day is given to the pateint
70gm/day = 280kcal = 17%
● Fat: 30gm/day = 270 kcal = 16.4%
● Carbohydrate: 66.58% = 109kcal = 272.7gm/day
23. Food Exchange List
Sr. No Name of Exchanges No. of Exchanges Energy (kcal) Carbohydrate (g) Protein (g) Fat (g)
1 Cereal Exchange 4 400 84 12 2
2 Pulse Exchange 3 300 51 18 2.5
3
Vegetable
Exchange A
Group I 3 75 9 6 1.2
Group II 3 75 12 4.5 0.6
Group III
4
Vegetable
Exchange B
Group I 2 100 22 1.6 0.1
Group II
Group III
5
Fruit
Exchange
Group I
Group II 1 50 11 1 0.2
Group III 2 100 22 1.6 0.6
Group IV 2 100 22 1.2 0.6
Group V
6 Milk Exchange
Skimmed Milk &
Products
2 - 28 20 -
7 Nut & Oil Seed Exchange 1 50 1.7 1.5 1.7
8 Fat Exchange 2 200 - - 22
9 Sugar 1 50 12 - -
10 Egg 1 15 - 4 -
Total 1615 274.7 71.4 31.5
Requirement 1640 272.7 70 30
24. Menu plan
Meal / time Menu Servings
Early morning: 7am Skimmed milk 1 glass
Breakfast: 8am Vermicelli upma 1 bowl
Mid morning: 10 am Orange/ coconut water 1
Lunch: 12pm Mix dal khichadi
Buttermilk
1 bowl
1 glass
Snacks: 3pm Vegetable soup 1 cup
Evening : 5pm Roasted chana 1 serving
Dinner: 8am Moong dal cheela
Mint chtuney
Rawa kanji
3 yield
1 katori
1 bowl
25. Recommendation
Do have small frequent meals with moderate portinons
Avoid spices and oily fried foods
Do not skip meals.