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Mr.Mihir.M.Patel,Nursing Tutor,
Government College of
Nursing,Siddhpur
Definition
Pancreatitis is the acute inflammation of the
necrosis.
Etiology/Risk Factors
Biliary Tree Disorders
Alcoholism
Trauma to Pancreas
Malnutrition
Viral Infection
Intake of Certain drugs
Metabolic diseases
Other Causes (Duodenal ulcer, cysts, abscess, cystic
fibrosis)
Endoscopic Retrograde Cholangio Pancreatography
Alcohol related pancreatitis
Classification
1.Acute Pancreatitis
It is the acute inflammation of pancreas ranging from
mild, self limiting disorders to a severe rapidly fatal
disease that does not respond to treatment. The
degree of inflammation varies from mild edema to
severe hemorrhagic necrosis.
2.Chronic Pancreatitis
It is a continuous prolonged, inflammatory and
fibrosing process of the pancreas.
Clinical Manifestation
Severe Abdominal Pain
Severe, steady and excruciating pain located in the
epigastric or umbilical region may radiate to the back
also.
Vomiting
It is worsened by ingestion of food and fluid. It is
accompanied by nausea. The emesis is usually of
gastric origin and is bile stained.
Cont..
Low grade fever Leukocytosis (102F)
Abdominal tenderness with muscle guarding is present
Abdominal Distention
Hypotension and Hypovolemia with shock may be
present due to loss of large amount of protein rich fluid
into tissue and peritoneal cavity.
Respiratory Distress, hypoxia crackle on auscultation
Cynosis, Ecchymosis, Cullens Sign (Bluish discoloration
of periumbilical area)
Others: Jaundice, cold clammy skin, mental confusion.
Diagnostic Evaluation
History Collection
Physical Examination
Blood Investigation
Urine Analysis
Stool Specimen
Paracentesis Fluid Analysis
Chest X-ray
Abdominal USG
Endoscopic Ultrasound
Magnetic resonance cholangio pancreatography
Secretin Stimulation Test
Management
Objectives of Management are;
Relief of Pain
Pancreatic Abscess
Shock
Pleural Effusion
Tetany
Thank You