HELP Please..!!!!!

coolioWiZ

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  • Jul 19, 2007
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    alpha canis majoris
    if a disease is acute then it can be reversed (ie cured by surgery or drugs)

    it's very hard to do the initial diagnosis in pancreatitis coz it can be related to something else. If there is a pain in the region where the pancereas is(severe pain), then the doctor can suspect something wrong with the pancreas (also bouts of diabetes will enhance suspicion)
    there are some lab tests which can be carried out to confirm . . like testing for blood pancreatic enzyme levels. . and increase from normal will point to pancreatitis
     

    krizta

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  • Nov 9, 2007
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    coolioWiZ said:
    if a disease is acute then it can be reversed (ie cured by surgery or drugs)

    it's very hard to do the initial diagnosis in pancreatitis coz it can be related to something else. If there is a pain in the region where the pancereas is(severe pain), then the doctor can suspect something wrong with the pancreas (also bouts of diabetes will enhance suspicion)
    there are some lab tests which can be carried out to confirm . . like testing for blood pancreatic enzyme levels. . and increase from normal will point to pancreatitis
    :shocked: :shocked: :shocked: :shocked:
     

    thm14

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    Dec 30, 2007
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    coolioWiZ said:
    if a disease is acute then it can be reversed (ie cured by surgery or drugs)

    it's very hard to do the initial diagnosis in pancreatitis coz it can be related to something else. If there is a pain in the region where the pancereas is(severe pain), then the doctor can suspect something wrong with the pancreas (also bouts of diabetes will enhance suspicion)
    there are some lab tests which can be carried out to confirm . . like testing for blood pancreatic enzyme levels. . and increase from normal will point to pancreatitis

    so dtzz wt u call prognosis?? is it??
     

    coolioWiZ

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  • Jul 19, 2007
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    alpha canis majoris
    hmm about the prognosis:

    u know that the pancreas is important as an endocrine organ (secretes insulin and gluagon) also it's involved in the digestion process by secreting enzymes like lipase. . . so if anything goes wrong with the pancreas, the normal secretion process goes wrong and there will be elavated plasma lipase and other pancreatic secretions. . .this leads the doc to confirm something is wrong in the pancreas.

    Then the doc can try scans such as CT or maybe a simple X-Ray to get an idea. . if the case is very severe the chance of survival is less . . but a less severe case can be cured.
     

    thm14

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    coolioWiZ said:
    hmm about the prognosis:

    u know that the pancreas is important as an endocrine organ (secretes insulin and gluagon) also it's involved in the digestion process by secreting enzymes like lipase. . . so if anything goes wrong with the pancreas, the normal secretion process goes wrong and there will be elavated plasma lipase and other pancreatic secretions. . .this leads the doc to confirm something is wrong in the pancreas.

    Then the doc can try scans such as CT or maybe a simple X-Ray to get an idea. . if the case is very severe the chance of survival is less . . but a less severe case can be cured.

    ahh k bro...thnxxx a lot aa...:):)
     

    coolioWiZ

    Well-known member
  • Jul 19, 2007
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    thm14 said:
    so dtzz wt u call prognosis?? is it??

    prognosis is the techniques and data used to diagnose a disease.
    so in this case the prognosis is the test for plasma lipase levels . . the docs have a complex series of indicators which they can use to confirm their diagnose.

    eg this is one prognosis for pancreatitis, note the indicator values :)

    Code:
    APACHE II scale
    
    Equation includes the following factors: age, rectal temperature, mean arterial pressure, heart rate, PaO2, arterial pH, serum potassium, serum sodium, serum creatinine, hematocrit, white blood cell count, Glasgow Coma Scale score, chronic health status
    
    Scoring: Can be calculated at http://www.sfar.org/scores2/apache22.html#calcul
    
    CT Severity Index
    
    CT grade
    
    A is normal pancreas (0 points)
    
    B is edematous pancreas (1 point)
    
    C is B plus mild extrapancreatic changes (2 points)
    
    D is severe extrapancreatic changes plus one fluid collection (3 points)
    
    E is multiple or extensive fluid collections (4 points)
    
    Necrosis score:
    
    None (0 points)
    
    > One third (2 points)
    
    < One third but less than one half (4 points)
    
    > One half (6 points)
    
    Scoring: CT grade + necrosis score
    
    Imrie scoring system
    
    Age > 55 years
    
    White blood cell count > 15,000 per mm3 (15.0 × 109 per L)
    
    Blood glucose > 180 mg per dL (10 mmol per L) in patients without diabetes
    
    Serum lactate dehydrogenase > 600 U per L
    
    Serum AST or ALT > 100 U per L
    
    Serum calcium < 8 mg per dL
    
    PaO2 < 60 mm Hg
    
    Serum albumin < 3.2 g per dL (32 g per L)
    
    Serum urea > 45 mg per dL (16.0 mmol per L)
    
    Scoring: One point for each criterion met 48 hours after admission
    
    Ranson's criteria
    
    At admission or diagnosis:
    
    Age > 55 years
    
    White blood cell count > 16,000 per mm3 (16.0 × 109 per L)
    
    Blood glucose > 200 mg per dL (11.1 mmol per L)
    
    Serum lactate dehydrogenase > 350 U per L
    
    AST > 250 U per L
    
    During initial 48 hours:
    
    Hematocrit decrease > 10 percent
    
    Blood urea nitrogen increase > 5 mg per dL (1.8 mmol per L)
    
    Serum calcium < 8 mg per dL (2 mmol per L)
    
    Base deficit > 4 mmol per L (4 mEq per L)
    
    Fluid sequestration > 6,000 mL
    
    PaO2 < 60 mm Hg
    
    Scoring: One point for each criterion met
    
    APACHE II = Acute Physiology and Chronic Health Evaluation; PaO2 = partial arterial oxygen tension; CT = computed tomography; AST = aspartate transaminase; ALT = alanine transaminase.
    
    Information from references 16 through 19.
     

    giyo

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    Jan 11, 2008
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