GASTROENTEROLOGY(B)

 

A1.

·         The cause of pancreatitis in this case can be attributed to ALCOHOL.

                                                          In acute pancreatitis

                                                                 ↓

                          Premature activation of zymogen granules in pancreas

                                                                  ↓

                             Increased release of proteases into surrounding tissues

                                                                  ↓

             Pleural effusion due to seepage of fluid from abdominal cavity to thoracic cavity

                                                                     ↓

                                                                 DYSPNAE


A2.

                                                   In acute pancreatitis

                                                              ↓

                          there is destruction of pancreas(pancreatic cells)

                                                              ↓

                         pancreas is the only source for production of insulin

                                                            ↓

                insulin is the only hormone responsible for reducing blood sugars in blood

                                                            ↓

                                   therefore this leads to hyperglcemia

A3.

     Elevated LFT’s : may be due to alcohol causing liver damage.

   GGT- Gamma Glutamyl Transferase is most specific marker for alcoholic liver disease.

A4.

LINE OF TREATMENT

·        Intravenous fluids – 125 ml/hr

§  Given to treat dehydrated state as seen in acute pancreatitis.

·        INJ PAN : 40mg IV – OD

·        INJ ZOFER : 4 mg IV – SOS

·        INJ TRAMADOL: 1 amp in 100ml NS, IV, SOS

·        Tab Dolo : 650 mg SOS

·        GRBS charting- 6th hrly

·        BP charting- 8th hrly



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