"I Get Smashed" are the causes of Acute Pancreatitis

Acute pancreatitis is a sudden inflammation of the pancreas. Depending on its severity, it can have severe complications and high mortality despite treatment. While mild cases are often successfully treated with conservative measures, such as NPO(abstaining from any oral intake) and IV fluid rehydration, severe cases may require admission to the ICU or even surgery (often more than one intervention) to deal with complications of the disease process.

Symptoms and signs
Severe epigastric pain radiating to the back.
Nausea, vomiting,diarrhea, and loss of appetite.
Fever/Chills
Shock, hemodynamic instability
Steatorrhea- pale, foul-smelling and oily stool.
Less common or signs of severe disease

Grey Turner sign(hemorrhagic discoloration of the flanks)
Cullen sign(hemorrhagic discoloration of the umbilicus)
Other conditions to consider

pancreatic pseudocyst,
pancreatic dysfunction(malabsorption due to exocrine failure) ordiabetes mellitus.
pancreatic cancer

A common mnemonic for the causes of pancreatitis spells "I get smashed", an allusion to heavy drinking (one of the many causes):

I - idiopathic
G - gallstone. Gallstones that travel down the common bile duct and which subsequently get stuck in the Ampulla of Vater can cause obstruction in the outflow of pancreatic juices from the pancreas into theduodenum. The backflow of these digestive juices causes lysis (dissolving) of pancreatic cells and subsequent pancreatitis.
E - ethanol (alcohol)
T - trauma
S - steroids
M - mumps (paramyxovirus) and other viruses (Epstein-Barr virus,Cytomegalovirus)
A - autoimmune disease (Polyarteritis nodosa, Systemic lupus erythematosus)
S - scorpion sting -Tityus Trinitatis -Trinidad/ snake bite
H - hypercalcemia,hyperlipidemia/hypertriglyceridemiaand hypothermia
E - ERCP (Endoscopic Retrograde Cholangio-Pancreatography - a procedure that combines endoscopyand fluoroscopy)
D - drugs (SAND-steroids &sulfonamides,azathioprine, NSAIDS,diuretics such asfurosemide andthiazides, & didanosine) and duodenal ulcers-wikipedia

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3 Comments

  1. I got mumps last year and it was really very painful. I have to take some pain killers to ease the pain. *-

    ReplyDelete
  2. mumps is so damn painfull that i don't wanna hear about ~~`

    ReplyDelete
  3. mumps do really suck, it hurts so much -:*

    ReplyDelete

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