Mr. Stein's pain
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

Chronic pancreatitis:
  • A condition characterized by repeat bouts of pancreatitis.
  • Continued loss of pancreatic tissue leads to fibrosis.
  • Hypercalcemia and hyperlipoproteinemias contribute.
  • Ductal obstruction by congealed secretions and cellular debris.
  • Alcohol induced oxidative injury from free radicals.
  • Perilobular fibrosis leads to duct distortion and altered pancreatic secretion flow.
Consequences of chronic pancreatitis:
  • Diabetes secondary to loss of islets.
  • Malabsorption, especially of fats and fat soluble vitamins. Steatorrhea.
  • Pseudocyst.
This sounds serious, so what did Mr. Stein end up with?       Back
 

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