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Gallstone Pancreatitis

 Syn. acute pancreatitis due to gallstones , pancreatitis gallstone

Signs & Symptoms

 Discomfort
Ref: Harrison [ 2439] Cecil [ 897]
Acute upper abdominal pain #Criteria
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults] Harrison [ 2439] Cecil [ 427] Epocrates [ https://online.epocrates.com/diseases/6631/Acute-pancreatitis/Diagnostic-Approach]
Gradual pain
Ref: Uptodate [ History and physical examination in adults with abdominal pain]
Alleviated in fetal position
Note: bent over, with spine, hips, and knees flexed
Ref: Epocrates [ https://online.epocrates.com/diseases/6631/Acute-pancreatitis/Diagnostic-Approach]

Physical Examination

 Acute upper abdominal pain #Criteria
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults] Harrison [ 2439] Cecil [ 427] Epocrates [ https://online.epocrates.com/diseases/6631/Acute-pancreatitis/Diagnostic-Approach]
Decreased skin turgor
Ref: Epocrates [ https://online.epocrates.com/diseases/6631/Acute-pancreatitis/Diagnostic-Approach]
Absent Bowel sounds
Ref: Uptodate [ 2439]

Lab / Serology

 Elevated serum alanine aminotransferase
Note: more than threefold, greater than 150 IU/L strongly suggests gallstone pancreatitis
Ref: Uptodate [ Clinical manifestations and diagnosis of acute pancreatitis] Cecil [ 425]
Elevated liver enzymes
Ref: Cecil [ 425]
Elevated liver tests
Ref: Uptodate [ Approach to the patient with suspected choledocholithiasis]

Imagin Study

 CT inflammation in pancreas #Criteria
Ref: Cecil [ 897]
Pleural effusion
Note: especially on the left side
Ref: Harrison [ 2431] Epocrates [ https://online.epocrates.com/diseases/6631/Acute-pancreatitis/Diagnostic-Approach]
CT show inflammation in pancreas #Criteria
Ref: Cecil [ 897]

Complication

 Coma
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults]
Jaundice
Ref: Uptodate [ Clinical manifestations and diagnosis of acute pancreatitis] Harrison [ 2439]
Chest dullness to percussion
Ref: Epocrates [ https://online.epocrates.com/diseases/64031/Liver-abscess/Diagnostic-Approach]

Risk Factors

 Gallstones
Ref: Unknown [ 0]
Use of causative drugs
Ref: Epocrates [ https://online.epocrates.com/diseases/6632/Acute-pancreatitis/Risk-Factors]
ERCP
Ref: Uptodate [ Diagnostic approach to abdominal pain in adults] Unknown [ 0]

Cause

 Caused by Gallstones
Ref: Cecil [ 427]
Caused by Tumors
Ref: Cecil [ 427]
alcohol
Ref: Cecil [ 427]

Other