Concluded Case

A RARE CASE IN PREGNANCY ACUTE ON CHRONIC PANCREATITIS

A 20 years old female patient, complaining with severe pain abdo. č unstoppable vomiting. She is pregnant, eight weeks amenorrhea. Chief Complaints Severe pain abdo. Pain at left hypochondriac region Nausea č vomiting CGW Anematic Jaundice History White discharge Ovarian cyst Irregular menstrual periods Vitals Temp. 98°F BP 90/60mmHg Pulse 102bpm R/R 18bpm O/F NAD Physical Examination Chest B/L clear Abdo. Distended Spo2 97% LL NAD UL NAD Investigations TWBC 15,200 , N 35, L 38, E 16, M 1, B 0. Hb% 7.2, ESR 30, BILIRUBIN 3.2, *Awaited for other reports. Management Conservative management started What will be the next step plz. suggest respected dr.. ?????

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Concluded answer

Dilated pancreatic duct with stone indicates chronic pancreatitis Acute pain in abdomen can be a result of acute on chronic pancreatitis Raised WBC count indicates superadded bacterial infection Raised bilirubin - cause need to be investigated Adv Serum amylase Liver enzymes CRP Procalcitonin Serum calcium LDH

All Answers

? PANCREATITIS .. WITH .. ANEMIA .. AND .. JAUNDICE .. NEED'S .. HOSPITALIZATION .. IV..FLUIDS .. BS..ANTIBIOTICS .. PPI .. ONDANCETRAN .. MVI .. HEMATINIC'S .. SYMPTOMATIC T/T .. INVESTIGATE WITH.. BSL .. RT..PCR..COVID-19..

Tnx Dr Vipin Bihari Jain sir
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Dilated pancreatic duct with stone indicates chronic pancreatitis Acute pain in abdomen can be a result of acute on chronic pancreatitis Raised WBC count indicates superadded bacterial infection Raised bilirubin - cause need to be investigated Adv Serum amylase Liver enzymes CRP Procalcitonin Serum calcium LDH

Still conservative treatment to be given Iv fluids and antiemetic

Thanks Dr. Ved Prakash Singh, Dr.Dinesh Gupta, Dr. Kute Ankush, Dr. Maqsud Ansari, Dr. Pooja marwaha, Dr. Pushker Bhomia
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Prior to surgery only supportive & conservative treatment should be given

Admission IV fluids with broad-spectrum antibiotics PPI Hepamerz IV Pancreoflat 2 BD Sugar test RT-PCR test

आयुर्वेद के अनुसार रोगी अग्नशय व्रण एवं कामला से पीड़ित है। चिकित्सा संबंधी योग,,,, ताम्र पर्पटि 2 रत्ती तापत्यादि लौह 4 रत्ती स्वर्ण पर्पटि 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। रोगी को लंघन करना चाहिए। केवल यवागु एवं विलेपी पर रक्खे। एक सप्ताह तक। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

TYPICAL CASE AT FIRST STABLE THE SITUATION AFTER THAT SURGERY MAY BE PLAN

Pain medication begins with nonopioids (like acetaminophen, ibuprofen, or both).If nonopioids do not relieve pain, mild opioids (like codeine) are given. If mild opioids do not relieve pain, strong opioids (like morphine) are given.juandice due to pancriati may be live metabolic disorders,hospitizain,brod septum anbiotc,hepamarz tab, injection ondem,R B tone injection treatment, according to symptoms medication,?may need to surgery.take advise Gastroenterologists

NEEDS TREATMENT. FOR PANCREATITIS

Treat pancreatitis

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