Leather Minolta Camera Bag

8. Chronic pancreatitis / V. Kuznetsov

Chronic pancreatitis - a progressive inflammatory disease, with sclerosing and destruction of endocrine pancreatic tissue. Is a consequence of acute pancreatitis. Contribute to the development of chronic pancreatitis gallbladder disease, hemochromatosis (a combination of liver disease to diabetes and pancreatic insufficiency; giperparatireodizm; vascular lesions, exacerbation of chronic pancreatitis is triggered by errors in diet, a violation of the regime, bacterial and viral infections.

Classification

classification is as follows.

I. Form:

1) recurrent;

2) with a constant pain syndrome;

3) latent.

II. Period of the disease:

1) aggravation;

2) remission.

III. Clinical course:

1) type: recurrent;

2) the severity: mild, medium, heavy;

3) posindromnaya Response: pancreat-hepatic, cerebral, renal syndromes.

IV. Stage of the disease: initial deployed manifestations final.

V. State of the pancreas: 1) the state of the external secretion:

a) without manifestations of exocrine insufficiency;

b) with signs of exogenous failure;

2) the state of internal secretion:

a) without disturbances;

b) in violation of (hyper-and hypothyroidism insular apparatus). VI. Complications of the pancreas.

Clinic

symptomatic paroxysmal pain (aching, dull or stabbing), which are wrapped nature, radiating to back, left arm. Decreased appetite, nausea, unsteady stool, abdominal bloating, loss of weight. In aggravation DEFENSE muscles of the upper part abdomen. Soreness at Leto - Robson, at Desjardins. Positive symptoms Shoffara, the Grotto. Intoxication symptoms: irritability, sometimes aggression, emotional lability, blue under the eyes, conjunctivitis, cracks in the corners of the mouth, the phenomenon of hypovitaminosis.

Diagnostics

In general, the analysis of blood neutrophil leukocytosis with left shift, lymphocytosis, eosinophilia, thrombocytopenia.

In the biochemical analysis of urine - increase of amylase, peptidase. In the biochemical analysis of blood - increase of amylase, lipase, hypo-and disproteinemiya. Coprogram - steatorrhea, kreatoreya, aminoreya. On the U.S. - increased cancer or her department due to edema or sclerosis.

ray diagnostics - extension arc of the duodenum, increased relief of the medial wall.

Differential diagnosis

differential diagnosis spend with nefroishiazom, intussusception.