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Old 04-28-2012
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Pancreas Pancreatitis Types Confusion

Can some one please help me with the following term:
Hemorrhagic pancreatitis
Infected pancreatic necrosis
Necrotizing pancreatitis
I got really confused between them
Thanks in advance
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Old 04-28-2012
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IT's A continuous Spectrum of inflammtion
Acute pancreatitis or acute pancreatic necrosis is a sudden inflammation of the pancreas
The acute pancreatitis (acute hemorrhagic pancreatic necrosis) is characterized by acute inflammation and necrosis of pancreas parenchyma, focal enzymic necrosis of pancreatic fat and vessel necrosis (hemorrhage). These are produced by intrapancreatic activation of pancreatic enzymes. Lipase activation produces the necrosis of fat tissue in pancreatic interstitium and peripancreatic spaces as well as vessel damage. Necrotic fat cells appear as shadows, contours of cells, lacking the nucleus, pink, finely granular cytoplasm. It is possible to find calcium precipitates (hematoxylinophilic). Digestion of vascular walls results in thrombosis and hemorrhage, which can be seen clinically as Cullenís & Grey-Turnerís signs. Inflammatory infiltrate is rich in neutrophils. Due to the pancreas lacking a capsule, the inflammation and necrosis can extend to include fascial layers in the immediate vicinity of the pancreas.
Necrosis will be followed by a systemic inflammatory response syndrome (SIRS) and will determine the immediate clinical course. The further clinical course is then determined by bacterial infection. SIRS is the cause of bacterial (Gram negative) translocation from the patients colon
usually if necrosis involve >30% of pancreas, a biopsy is need to rule out infection
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Old 04-28-2012
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Quote:
Originally Posted by Salim View Post
Can some one please help me with the following term:
Hemorrhagic pancreatitis
Infected pancreatic necrosis
Necrotizing pancreatitis
I got really confused between them
Thanks in advance
Acute pancreatitis:
http://en.wikipedia.org/wiki/Acute_pancreatitis

Chronic pancreatitis
http://en.wikipedia.org/wiki/Chronic_pancreatitis

Hemorrhagic pancreatitis
http://www.buzzle.com/articles/acute...creatitis.html

Infected pancreatic necrosis
http://online.liebertpub.com/doi/abs...r.2006.7.s2-49

Necrotizing pancreatitis
http://emedicine.medscape.com/article/181264-overview

Hope this helps......Above mentioned links are referral from different article.
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Old 04-28-2012
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regarding ck ans

when necrotizing...ans is antibiotics and when infective ans is debridement.
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Old 04-28-2012
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Thank you all for replying, i really appreciate it, but Tyga, do you mean than when infected the answer is AB and the answer is debridment when necrosis, it makes more sense for me, what so you think?
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