Gastro intestinal73 Videos

Cholangitis

Clinical manifestation and diagnosis   ●Clinical presentation The classic presentation of acute cholangitis is fever, abdominal pain, and jaundice (Charcot’s triad), although only 50 to 75 percent of patients with acute cholangitis have all three findings. The most common symptoms of acute cholangitis are fever and abdominal pain. Confusion and hypotension can occur in patients […]

Assessment of the Spleen

Assessment of the Spleen The normal adult spleen lies immediately under the diaphragm in the left upper quadrant of the abdomen. It ranges in length from 6 to 13 cm and in weight from 75 to 120 g. The spleen is not normally palpable except in slender young adults. When the spleen can be felt […]

Pancreatitis – Acute and Chronic Pancreatitis Nursing Lecture Symptoms, Treatment, Pathophysiology

Pathogenesis of acute pancreatitis ●Although a number of conditions can precipitate acute pancreatitis, only a small fraction of patients with these predisposing conditions develops acute pancreatitis. For example, the incidence of acute pancreatitis is only 3 to 7 percent in patients with gallstones and 10 percent in alcoholics.  ●It is unclear why alcohol-induced pancreatitis occurs […]

Chronic pancreatitis – causes, symptoms, diagnosis, treatment, pathology

Management   ●Chronic pancreatitis is an ongoing process of pathologic response to pancreatic injury. Abdominal pain is the most common clinical symptom. As chronic pancreatitis progresses, patients may develop exocrine pancreatic insufficiency (steatorrhea, maldigestion) and diabetes. Complications of chronic pancreatitis include pancreatic pseudocyst, bile duct or duodenal obstruction, visceral artery pseudoaneurysm, pancreatic ascites and pancreatic […]