[dralamin]

Acute abdomen

Its means abdominal pain,discomfort.

Cause

1. Acute panceatitis
   2.Acute cholecystitis

Acute panceatitis

Severe upper abdominal pain associated with vomiting, neause, fever, anorexia
Epigestric tenderness.
Serum lipase more than 3x from normal level.

Cause: alcohol

Gallstones
hyperlipidemia
malnutrition
hereditary pancreatitis.
hypercalcemia.
Ulcers.
Injury to the pancreas after an accident or a procedure such as ERCP or EUS with fine needle aspirate.
hepatitis
Choledochocele.
Cystic fibrosis.

Investigation

1.CBC
2.Serum lipase
3.USG of upper abdomen

Rx
Nothing per oral - for relief pain
Infusion
Appropriate Antibiotics
Opioid analgesic for pain

Than if no pain
Give oral diet - water than liquid than normal diet.
Than improve patient condition discharge him/ her.

Stop to drink alcohol

keep good your pancreas