Treatment Planning

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).

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.

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!