The NCCPA™ Gastroenterology and Nutrition PANCE Content Blueprint covers acute and chronic pancreatitis under the category disorders of the pancreas
| Acute and chronic pancreatitis | Patient will present as → a 37-year-old male complaining of rapid onset of severe mid-epigastric pain with radiation to the back after eating a large meal. The pain typically lessens when the patient leans forward or lies in the fetal position. Physical exam shows low-grade fever, epigastric tenderness, diminished bowel sounds, and bruising of the flanks. An abdominal CT scan (seen here) shows localized dilation of the upper duodenum and a small collection of fluid in the left pleural cavity. Acute Pancreatitis - epigastric abdominal pain with radiation to the back and elevated lipase
Ranson’s criteria for poor prognosis: At admit:
At 48 hrs:
TX: IV fluids (best), analgesics, bowel rest Complication: pancreatic pseudocyst (a circumscribed collection of fluid rich in pancreatic enzymes, blood, and necrotic tissue) Chronic Pancreatitis - classic triad of pancreatic calcification (plain abdominal x-ray), steatorrhea (high fecal fat), and diabetes mellitus
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