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CLINICAL DISEASE IN
PANCREATITIS
-BY
C.NARESHKUMAR
Introduction


Acute Pancreatitis



Chronic Pancreatitis
ACUTE PANCREATITIS

   SYMPTOMS
     epigastric pain
   anorexia,nausea
    ,vomiting
     haemetamesis
    & malaena
     fever
     Oliguria
SIGNS


   Rebound tenderness,abdominal guarding



   Distended abdomen and
    absence of bowel sounds
SIGNS

   Features of shock and dehydration

   Tachypnoea with cyanosis

   Collapsed neck veins

   Dry skin , dry mucous membrane
SIGNS

   Grey Turner’s sign

   Cullen’s sign

   Fox sign
Grey turner’s sign
Cullen’s sign
SIGNS
   Erythematous nodules



   Purtscher’s retinopathy
COMPLICATIONS


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


   PANCREATIC PSEUDOANEURYSM
   PSEUDOCYST
   PANCREATIC ASCITES
   PANCREATIC PLEURAL EFFUSION
   SPLEENIC VEIN THROMBOSIS
CHRONIC PANCREATITIS

   SYMPTOMS

- Epigastric Pain
             exacerbated by alcohol
SYMPTOMS

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



   LATE FEATURE
        -Gross malabsorption
        - Diabetes mellitus
SIGNS


   Features of jaundice

   Tender hard epigastric mass

   Mallet-Guys sign
Mallet-guy sign
COMPLICATIONS


   CARCINOMA OF PANCREAS

   PANCREATIC PLEURAL EFFUSION

   PANCREATIC ASCITES

   PSEUDOCYST PANCREAS

   SPLENIC VEIN THROMBOSIS
COMPLICATIONS


   COMMON BILE DUCT STRICTURE
   DUODENAL STENOSIS
   PORTAL THROMBOSIS
   PEPTIC ULCER
   PANCREATIC FISTULA
   PANCREATICOENTERIC FISTULA
THANK YOU

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Naresh kumar final