Acute pancreatitis case study

By exclusion the diagnosis of drug induced pancreatitis secondary to orlistat was made. He had a past history of Type II Diabetes Mellitus, hypertension, asthma and obstructive sleep apnoea.

acute pancreatitis diagnosis ppt

Conclusion Orlistat was the only drug that had been started recently and has been associated with pancreatitis previously. Management was the standard of pancreatitis, mainly supportive.

A case of acute pancreatitis answer key

Some centres give prophylactic antibiotics to reduce this potential complication; however, there is still no robust evidence to support this use. Conclusion Orlistat was the only drug that had been started recently and has been associated with pancreatitis previously. Arch Surg. Case presentation A 36 year old man presented to hospital with acute severe pancreatitis four days after starting a course of Orlistat, a lipase inhibitor used in the treatment of obesity. Amylase has traditionally been the enzyme tested for, however, more recently lipase levels are being undertaken in some hospitals. The procedure is best carried out within the first 72 hours after the onset of pain. Recommendations are for there to be at least two good quality ultrasound scans undertaken before a diagnosis of gallstones can be excluded. However, in practice this is not always possible. The Atlanta classification is a useful framework for assessing the severity of acute pancreatitis. It is therefore not on the list of possible complications or side effects of the drug. We found no case reports of similar cases, however 99 cases of orlistat related pancreatitis have been reported to the Food and Drug Administration FDA , but no causative link has been found in clinical trials by the drug company. Lipase has a longer half-life than amylase and it is also more specific.

Viral antibody titres for example, for mumps and Coxsackie B4 are often taken. However, if an ileus lasts for more than five days then parenteral nutrition is often given as an alternative.

Abstinence after first acute alcohol-associated pancreatitis protects against recurrent pancreatitis and minimizes the risk of pancreatic dysfunction Alcohol Alcohol ; Johnson CD, Besselink MG, Carter R.

He weighed kg with a Body Mass Index greater than Case presentation A 36 year old man presented to the emergency department with a 24 hour history of central abdominal pain, two episodes of vomiting and loose stool.

Case study acute pancreatitis by homeworkping - issuu

Case presentation A 36 year old man presented to the emergency department with a 24 hour history of central abdominal pain, two episodes of vomiting and loose stool. Classification of acute pancreatitis revision of the Atlanta classification and definitions by international consensus. Patients should be advised to abstain from alcohol for at least months, regardless of the underlying cause of pancreatitis. He was classified as having acute severe pancreatitis using the modified Glasgow Score Background Orlistat is an anti-obesity drug licensed in the U. We found no case reports of similar cases, however 99 cases of orlistat related pancreatitis have been reported to the Food and Drug Administration FDA , but no causative link has been found in clinical trials by the drug company. Case presentation A 36 year old man presented to hospital with acute severe pancreatitis four days after starting a course of Orlistat, a lipase inhibitor used in the treatment of obesity. Ann Surg ; Nikkola J et al. Urgent therapeutic ERCP should be performed in patients with acute pancreatitis of suspected or proven gallstone aetiology who satisfy the criteria for predicted or actual severe pancreatitis, or when there is cholangitis, jaundice, or a dilated common bile duct.

We present a case of a patient who developed pancreatitis four days after commencing orlistat. Classification of acute pancreatitis revision of the Atlanta classification and definitions by international consensus. Other blood tests include liver function tests, fasting blood lipids and calcium concentrations.

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