Treatment Planning

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09-13-2023_ODTPI_VP2_Lewis.pdf

ODTPI VP2

September 13, 2023

Our patient, Ella Cam Dales, reports hospitalization for “pancreas pain”.

Describe the events involved in protein digestion including the role of the exocrine pancreas

Digestive System: Stomach

Mucosal Parietal

Gastrin Histamine HCl

Chief

Pepsinogen

Secretions initiated by CNS input…acetylcholine.

End result : Liquid chyme

secretes

zymogens,

pancreatic

lipase &

amylase,

& HCO3 -

INTESTINAL MUCOSA produces:

2 HORMONES 1 ENZYME

cholecystokinin secretin enteropeptidase

gall bladder

exocrine

pancreas activates

trypsinogen secretes bile

salts trypsin

activateschymotrypsinogen procarboxypeptidase

proelastase

Serum markers for pancreatitis

Relate symptoms of pancreatitis to function of the exocrine pancreas

What are the symptoms of acute pancreatitis?

#1:_severe epigastric pain radiating to the back

Nausea, vomiting, sweating, weakness, loss of appetite​

Fever/chills​

Tachycardia, Respiratory distress, Peritonitis​

Abdominal distention​

The mnemonic I GET SMASHED is often used to

remember the common causes of pancreatitis: I-----idiopathic

G—gallstones

E—ethanol

T—trauma

S—steroids

M—mumps

A—autoimmune pancreatitis

S—scorpion sting

H—hyperlipidemia, hypothermia, hyperparathyroidism

E—endoscopic retrograde cholangiopancreatography

D—drugs (commonly azathioprine, valproic acid, liraglutide).

https://en.wikipedia.org/wiki/Pancreatitis#:~:text=The%20mnemonic%20GETSMASHED%20is%20often,D%E2%80%94drugs%20( commonly%20azathioprine%2C

Some add TB to the list

Median age 69 Median age 39

Have you ever heard of miliary TB?

Miliary tuberculosis is a potentially fatal form of the disseminated disease due to the hematogenous spread of tubercle bacilli to the lungs, and other organs. It results in the formation of millet seed-sized (1 to 2 mm) tuberculous foci.

https://www.ncbi.nlm.nih.gov/books/NBK430685/

More on this in RESPIRATORY SYSTEMS!

Treatment for acute pancreatitis

• Primary treatment is NPO

• Latin for nil per os or nothing by mouth

• Treatment of secondary damage

• You will learn all about this in GI SYSTEMS!

  • Slide 1: ODTPI VP2
  • Slide 2: Our patient, Ella Cam Dales, reports hospitalization for “pancreas pain”.
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6: What are the symptoms of acute pancreatitis?
  • Slide 7
  • Slide 8
  • Slide 9: Have you ever heard of miliary TB?
  • Slide 10: Treatment for acute pancreatitis
  • Slide 11