NOVEMBER BIMONTHLY EXAM
CASE 1 Question 1) pain in the epigastric region differentials Gastric ulcers Inferior wall MI Acute pancreatitis (Boaring kind of pain) 2)sob- acidosis due to renal failure ? Ards secondary to sepsis/pancreatitis Pleural effusion due to acute pancreatitis 3)decreased urine output-pre renal Aki secondary to volume loss(oliguric) 3rd space loss due to pancreatitis Sepsis induced aki 4) abdominal distention with constipation and nausea Secondary to paralytic ileus Treatment 1) Antibiotics imipenem, ciprofloxacin, ofloxacin, ceftriaxone, cefotaxime, ceftizoxime, cefotiam, piperacillin, mezlozillin, metronidazole and tazobactam were detected in pancreatic tissue at concentrations exceeding the MICs of most of the relevant bacteria A first controlled clinical study with prophylactic imipenem in patients with severe acute pancreatitis showed a reduction in the rate of sep...