Clinical Scenarios: Complications of Acute Pancreatitis
1. A 72 year old woman is admitted with severe acute pancreatitis (modified Glasgow score of 4). Her urine output in the past 24 hours is 400 ml. She has a haemoglobin of 11.5g/dl, a creatinine of 201 μmol/l and is hypoxic with a PaO2 of 7.9 kPa.
2. A 39 year old alcoholic man is in ICU with organ failure due to severe acute pancreatitis. He is on ionotropes, intubated and ventilated and is being fed enterally via a nasogastric tube. His fluid balance for the past 24 hours reads.
1. A 72 year old woman is admitted with severe acute pancreatitis (modified Glasgow score of 4). Her urine output in the past 24 hours is 400 ml. She has a haemoglobin of 11.5g/dl, a creatinine of 201 μmol/l and is hypoxic with a PaO2 of 7.9 kPa.
2. A 39 year old alcoholic man is in ICU with organ failure due to severe acute pancreatitis. He is on ionotropes, intubated and ventilated and is being fed enterally via a nasogastric tube. His fluid balance for the past 24 hours reads.
IV fluidsInotrope InfusionNG tube feed
|
Fluids In4200 ml200 ml2160 ml
|
Urine outputNG aspirateVomit
|
Fluids out2100 ml1500 ml500 ml
|
3. A 46 year old man attends the outpatient clinic
following a recent admission with acute pancreatitis. He reports intermittent
upper abdominal pain and vomiting. On examination there is a large not tender
mass in the epigastrium.
For each of the scenarios, select the best answer from the list of options given below:
1. Acute renal failure
2. Acute respiratory distress syndrome
3. Chronic pancreatitis
4. Foregut obstruction
5. Haemorrhage
6. Hypovolaemia
7. Infected pancreatic necrosis
8. Multi-organ failure
9. Pancreatic abscess
10. Pancreatic duct stricture
11. Pancreatic necrosis
12. Pseudocyst formation
1. Acute renal failure
2. Acute respiratory distress syndrome
3. Chronic pancreatitis
4. Foregut obstruction
5. Haemorrhage
6. Hypovolaemia
7. Infected pancreatic necrosis
8. Multi-organ failure
9. Pancreatic abscess
10. Pancreatic duct stricture
11. Pancreatic necrosis
12. Pseudocyst formation