A female with sudden onset Pain abdomen

A female aged 56 years p/w Chief Complaints Sudden onset Pain Abdomen Colicky (Radiating to back) Not relived by Analgesics (x 3 days) Physical Examination P/A- Tenderness present in Epigastrium Bowel sounds absent

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Acute pancreatitis... Hospitalisation and evaluate for Amylase, Lipase. GPT, cBC, CRP, PCT.. start with cefoperazone + Sulbactum. Fluids, NBM,

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Hypoechoic swelling or lesion in rt lobe of liver Swollened head of pancreas with mild effusion periportal region Ac pancreatitis with ?tr lobe hepatocellular lesion Evaluate further Iv inj Ceftriaxozone Inj dexamethasone Inj antispasmodics Inj pantaprazole inj ondestron Injinj tromodol

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Acute pancreatitis Do LDH serum amylase Admit antibiotics will settle Double antibiotics

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Acute pancreatitis

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