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Acute Pancreatitis II: Clinical Manifestations and Management

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...

Acute Pancreatitis I: Introduction

Acute Pancreatitis I: Introduction

Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
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The causes of acute pancreatitis include:

Chronic Pancreatitis I: Introduction

Chronic Pancreatitis I: Introduction

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Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Appendicitis-I: Introduction

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Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice

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Common Pathology With Atypical Presentation: Acute Cholangitis.

Aidan Farrell¹, Harshavardhan Sanekommu², Pranav N Shah³

¹Internal Medicine, Hackensack Meridian School of Medicine, Nutley, USA.

|July 24, 2023

Summary

Acute cholangitis, a serious biliary infection, can present atypically in elderly patients. Early diagnosis and treatment, even with non-specific symptoms, are vital for positive outcomes.

Keywords:

acute cholangitis biliary diseases cholecystectomy choledocholithiasis endoscopy ercp

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Area of Science:

Gastroenterology and Hepatology
Internal Medicine
Biliary Tract Diseases

Background:

Acute cholangitis is a critical biliary tree infection, often linked to gallstones, with potentially fatal outcomes if untreated.
Prompt identification and management are essential to prevent severe complications.

Observation:

An 84-year-old female presented with acute cholangitis exhibiting atypical symptoms of chest pain and cough.
This case highlights the infrequent presentation of classic signs like Charcot's triad and Reynold's pentad in elderly individuals.

Findings:

The patient received successful treatment involving endoscopic retrograde cholangiopancreatography (ERCP), antibiotics, and ursodeoxycholic acid.
The case underscores the diagnostic challenge posed by non-specific symptoms in the elderly population.

Implications:

Emphasizes the need for a broad differential diagnosis in elderly patients presenting with vague symptoms suggestive of biliary pathology.
Highlights the importance of considering acute cholangitis even in the absence of typical clinical signs in the elderly.
Demonstrates successful management of acute cholangitis with ERCP and medical therapy in an elderly patient with an unusual presentation.