Pancreatitis Case Analysis Paper

This is 51 year old AAF. Patient is here for general physical exam for Medicaid application. Patient states that she has a pancrititis. For that reason, she can only perform vare minimal activities. Patient sates she cannot work for that same reason. Patient denies chest pain, reports SOB with minimal activy, denies N/V/ D, or fever. Patient denies depressive moods.

Acute Pancreatitis: Acute inflammation of the pancreas.The most common pathogenic mechanism is autodigestion of the pancreas. The etiological factor injures pancreatic cells or activates the pancreatic enzymes in the pancreas rather than in the intestine which may be due to reflux of bile acids into the pancreatic duct through an open or distended sphincter of Oddi. The result may also be caused by blockage created by a gallstone. Obstruction of pancreatic ducts results in pancreatic ischemia.The pathophysiology involvement of acute pancreatitis is

“Each year, acute pancreatitis sends more than 200,000 Americans to the hospital. Many of those who suffer from pancreatic problems are also heavy drinkers” (“Beyond Hangovers: Understanding Alcohol's Impact Your Health” 15). The pancreas is an important organ which aids in digestions and energy conversion. The pancreas directs enzymes to the small intestine to digest nutrients and it also secretes insulin and glucagon. The body’s main source of energy is glucose and insulin allows additional glucose to be stored away in the body properly. Too much alcohol damages cells in the pancreas, causing complications with insulin, leaving the organ open to inflammation. Alcohol causes the pancreas to discharge the enzymes intended for the small intestine back into the pancreas which can lead to inflammation and the swelling of tissues and blood vessels. Pancreatitis is the inflammation which causes the organ to malfunction and if one continues to drink, it can magnify into chronic pancreatitis when the inflammation is constant (“Beyond Hangovers: Understanding Alcohol's Impact Your Health” 15-16). Pancreatitis causing severe abdominal pain, persistent diarrhea, and is not curable. Sixty-percent of circumstances result from alcohol; although, some have been linked to gallstones (Freeman).

Pancreatic Cancer is cancer of an organ in the human body called the pancreas, which is located behind the lower part of the stomach. The function of this organ is to secrete certain essential enzymes to digest food and also secrete hormones to metabolize sugars such as insulin and glucagon (Mayoclinic). People get pancreatic cancer when the cells of the pancreas develop genetic mutations; and these can form in both the exocrine and endocrine cells of the pancreas, but exocrine tumors are more common than endocrine tumors. Because this cancer spreads very quickly throughout the body and the symptoms of the disease don’t usually appear until the cancer is at an advanced stage, it is a leading cause of death

The total pancreatectomy is used for removes the whole pancreas and the spleen. It is possible to live without a pancreas but these people had increased diabetes, which can be complicate to control. People who complete this surgery moreover need to take pancreatic enzyme pills for digesting of certain foods.

Today was my first day at metro hospital. I had an interesting situation with a patient. The patient was admitted with a hemorrhagic pseudo cyst and a history of chronic pancreatic with complaints of abdominal pain. After doing a CT scan, they found splenic hematoma. They did a CT scan and found a large gastric mass, with evidence of pancreatitis. That might have been what was causing the pain. This did bring bad memories of the last patient I had. Pancreatitis is not a joke. I went in to meet the patient to find that he was grumpy. I noticed while talking to him that he just wanted to leave the hospital. I even found out that he has been a chronic smoker for majority of his life. Nevertheless, since his admission, he has not smoked since.

Treatment goals for WM are to resolve his alcohol withdrawal symptoms, abdominal pain, nausea/vomiting, fluid/electrolyte deficit, fever, elevated BUN and reduce the risk of developing systemic complications associated with necrotizing pancreatitis.1 WM should see improvements in his abdominal pain, general mental state and overall quality of life during his treatment, which will allow him to eventually return to work and resume daily activities.1,2 Discontinue Tylenol ES since it has a potential to cause pancreatitis and WM is at an increased risk of liver damage and impairment due to alcohol consumption.1 Pancreaze should be restarted to help maintain his chronic pancreatitis condition.1,3 Bactrim DS should not be restarted because it is known to cause pancreatitis.1 WM can continue taking Pepcid as needed for upset stomach.

Because of the excessive pancreatic juice and bile Zachary’s pancreas will not be able to function correctly, this will result in a blockage of the secretions that will continue to build causing further damage and inflammation. Zachary will end up with extrahephatic jaundice due to the blockage of bile drainage and he will become malnourished and lose weight.

Major outcomes for Mr. C would include managing activities of daily living effectively, decreasing his pain level and notifying members of the heath care team prior to his pain level becoming unmanageable. He will be able to report that the pain management regimen is acceptable using the numeric scale. Mr. C will use non-pharmacological methods to help achieve comfort, recognize early signs and symptoms of pancreatitis exacerbation and cutback alcohol consumption or preferably alcohol cessation (Urden, Linda D; Stacy, Kathleen M; Lough, Mary E;, 2016).

Pancreatic cancer is the fourth leading cause of cancer death in men in the United States and the fifth leading cause of cancer death in women. It is very rare before the age of 45 years, and the majority of patients present in or beyond the sixth decade of life (Feldman et al.2010). Carcinoma arises anywhere in the pancreas. The most common frequent focus is in the head (60%), followed by the body (10%), and the tail (5%). Carcinomas of the head of the pancreas may cause biliary obstruction and jaundice by compressing the ampulla of Vater and common bile duct. They thus tend to be smaller at diagnosis than those of the body and tail and show more limited spread to regional lymph nodes and distant sites. On gross examination, pancreas carcinoma

The disease can also result in various obstructions of the pancreas, hindering digestion (World Health Organization, 2012, p.5).

The pain is constant and becomes more severe as the days go on. There are many possible indications as to what causes pancreatitis. Some of these causes include alcoholism, cystic fibrosis, gallstones, trauma, and family history of pancreatitis. When a patient has repeated flare-ups of pancreatitis, it is classified as chronic pancreatitis. As this disease progresses, it usually leads to permanent damage of the pancreas. Pancreatitis is treated in many different ways. Once the underlying cause of the disease is known, treatment may include removal of bile duct obstructions, cholecystectomy, treatment for alcoholism, or pancreas surgery to remove some of the damaged

Pancreatic cancer is the cancer of the pancreas. The pancreas is an organ between the spine and the stomach, and is about 6 inches long. The pancreas is also made up of two major components named the exocrine and the endocrine. A person has to have a pancreas to survive and this cancer can cause a rapid decline in health and eventually death. To prevent this cancer, a person needs to stop smoking, maintain a healthy weight, and check up with your sugar.

The pancreas is an organ mainly involved in process as digestions and the synthesis of hormones, and as all the others tissues in our body, it can develop cancer. Actually, pancreatic cancer is one of the deadliest types of cancer, either because of the symptoms that only appears at a late stage of the disease, the hard diagnosis and the high chances of metastasis.The symptoms associated with the pancreatic cancer are not specific, such lack of appetite, abdominal ache and weight loss. The diagnosis of pancreatic cancer is hard because the pancreas is located in not favorable position for exams to scan and detect its presence. Pancreatic cancer can also metastasize to other tissues, but mainly to liver tissues and it actually happens before

Pancreatic cancer occurs when build up of cancerous cells develop within the tissues of the pancreas. The build up of those cells can go on undetected for quite some time before pain or any symptoms show themselves. Also some of the pains can be mistaken for symptoms of some other less severe conditions. The pancreas is the organ that produces digestive juices and hormones that regulate blood sugar. Cells called exocrine pancreas cells produce the digestive juices, while cells called endocrine pancreas cells produce the hormones. The majority of pancreatic cancers start in the exocrine cells (WebMD, 2015). Pancreatic cancer is the cause of the 4th most cancer deaths in the United States of American with a median of six or less months and a 5-year survival rate of 4.6% (Sarkar, 2007). That’s something that was news to me but pancreatic cancer is only behind lung and bronchial cancer, colon and rectal cancer, and breast cancer.