Acute Pancreatitis: Diagnostic Guidelines for General Practitioners, Clinicians in Community Hospitals and in Specialized Centres
The diagnosis of acute pancreatitis is usually established by the presence of abdominal pain and biochemical evidence of pancreatic lesion. Therefore, the general practitioner should be alert to the possibility of acute pancreatitis in any patient with acute abdominal pain. Characteristically, the pain is located in the epigastrium and often radiates to the back and upper quadrants, is steady, dull and boring in quality, and peaks in intensity within 15 min to 6 h after the onset. The pain is frequently more intense when the patient is supine, and patients often obtain relief by sitting with the trunk flexed and knees drawn up. Nausea and vomiting are also frequent presenting complaints.
KeywordsCreatinine Lipase Pancreatitis Perforation Amylase
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