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The most common symptoms of pancreatitis are severe upper abdominal or left upper quadrant burning pain radiating to the back, nausea, and vomiting that is worse with eating. The physical examination will vary depending on severity and presence of internal bleeding. Blood pressure may be elevated by pain or decreased by dehydration or bleeding.
Acute pancreatitis (AP) is a sudden inflammation of the pancreas.Causes include a gallstone impacted in the common bile duct or the pancreatic duct, heavy alcohol use, systemic disease, trauma, elevated calcium levels, hypertriglyceridemia (with triglycerides usually being very elevated, over 1000 mg/dL), certain medications, hereditary causes and, in children, mumps.
Mallet-Guy's sign is a medical sign to detect signs of pancreatitis. [1] It is pain elicited with deep palpation of the left subcostal and epigastric region, suggesting pancreatic inflammation. It is named after Pierre Mallet-Guy. [2]
In medicine, Murphy's sign (also known as Sweeney’s sign) is a maneuver during a physical examination as part of the abdominal examination. [1] It is useful for differentiating pain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis.
Acute pancreatitis, ectopic pregnancy Grey Turner's sign refers to bruising of the flanks , the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration, [ 1 ] and is a sign of retroperitoneal hemorrhage , or bleeding behind the peritoneum, which is a lining of the abdominal cavity.
This sign takes 24–48 hours to appear and can predict acute pancreatitis, with mortality rising from 8–10% to 40%. It may be accompanied by Grey Turner's sign [ 3 ] (bruising of the flank), which may then be indicative of pancreatic necrosis with retroperitoneal or intra-abdominal bleeding.
haemorrhagic pancreatitis: ecchymosis of inguinal ligament (blood tracks retroperitoneally) Frank's sign: Sanders T. Frank: cardiology: ischaemic heart disease: ear crease indicating risk of heart disease (disputed) Friedreich's sign: Nikolaus Friedreich: cardiology: constrictive pericarditis, tricuspid insufficiency: collapse of distended neck ...
In acute pancreatitis, the inflammatory process involving the pancreas and surrounding tissues can extend to the adjacent transverse colon through the phrenicocolic ligament. [2] This inflammation leads to spasm and localized ileus, causing a sharp demarcation between the dilated proximal bowel and the collapsed distal segment.