Concluded Case

Chronic Calcific Pancreatitis

A male who is chronic Alcoholic taking approx 100gm Ethanol per day since last 15 years Chief Complaints Pain Abdomen (x 3 months) Epigastric, Radiating to back Moderate intensity Req oral analgesic everyday Physical Examination P/A - Tenderness (+) Epigastric region A vague lump with irregular margins (+) Investigations MRCP Management What should be the approach to management of this case

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Concluded answer

Chronic Pancreatitis with Pseudocyst

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Acute necrotising pancreatitis Needs to be managed conservatively Inj piperacillin+inj tazobactum 4.5 gm tds Inj dexamethasone 8hrly Inj Ceftriaxozone 1.1 gm bd Inj pantaprazole Inj ondestron Inj diclofenac Let pt to settle down Consider an opinion of endocrinologist

Thanx dr Vipin Bihari Jain
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Pancreatic necrosis with Walled off collection It need to be treated conservatively for 4 to 6 weeks Many times such inflammatory collection resolves with conservative treatment Indication of intervention Superadded infection No resolution of collection Mass effect causing symptoms It can be treated with Pig tail drain insertion Endoscopic retrograde pancreatography and drainage Open surgical drainage

Thank you doctor
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Vague lump of irregular margins Suggests malignancy Consult Gastroenterologist and oncologist for further management

Thanks Dr. Parampreet Kaur, Dr. Kute Ankush, Dr. Shivraj Agrawal, Dr.Dinesh Gupta
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? PANCREATIC PATHOLOGY .. ? MALIGNANCY .. NEED'S.. HPE..STUDY ..

Tnx Dr Vipin Bihari Jain sir
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Chronic Pancreatitis with Pseudocyst

Tumour of pancreas Mrcp biopsy HP Irregular margin Chance of cancer Opinion of oncologist Pet scan

Thank you doctor
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Sweet potato ginger lime juice orange juice no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages no vyasan pomegranat e muskmelon walnuts blue berries sunshine... Raw tomatoes beetroot coriand er juice pineapple with black pepper... sproutskalijeeri drumstick soup flaxseed s... cauliflower broccoli purple cabbage cabbage juice.. under strict supervision of Doctor

Chance of malignancy is more Advised FNAC Necrotic part should be removed Consult with surgical gastroenterologist as well as surgical oncologist

@Dr. Vipin Bihari Jain thank you
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Try Hamsapathyadi kashayam and kanchanara gulggulu tab.

Absees of pancreas.plZ cont to vd balendu prakash

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