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Choice of iv fluids in pancreatitis

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https://www.readbyqxmd.com/read/24994930/pet-ct-with-18f-fdg-labeled-autologous-leukocytes-for-the-diagnosis-of-infected-fluid-collections-in-acute-pancreatitis
#1
Anish Bhattacharya, Rakesh Kochhar, Sarika Sharma, Pallab Ray, Naveen Kalra, Niranjan Khandelwal, Bhagwant R Mittal
UNLABELLED: Early detection of infection in acute pancreatitis (AP) affects the choice of treatment and clinical outcome. We used PET/CT with (18)F-FDG-labeled autologous leukocytes to detect infection in pancreatic or peripancreatic fluid collections in patients with AP. METHODS: Forty-one patients (28 men and 13 women) who were 21-69 y old (mean ± SD, 41 ± 11.5) and had AP and radiologic evidence of a fluid collection in or around the pancreas were studied. Leukocytes were separated from the patient's venous blood, labeled with (18)F-FDG, and reinjected intravenously; PET/CT images were acquired 2 h later...
August 2014: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/23498324/acute-pancreatitis-complicated-by-st-elevation-myocardial-infarction
#2
Milind S Phadke, Pritesh Punjabi, Sohan Sharma, Sandeep Kide, Jaywant Nawale, Ajay Chaurasia
BACKGROUND: Electrocardiographic abnormalities mimicking myocardial ischemia have been reported in intra-abdominal conditions, including acute pancreatitis. However, the occurrence of ST-elevation myocardial infarction (STEMI) is rare. OBJECTIVES: To present a case report of a young man with acute pancreatitis subsequently complicated by acute STEMI. The diagnosis and management of STEMI in acute pancreatitis can present unique diagnostic and therapeutic challenges, which are reviewed...
May 2013: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/20012325/treatment-strategy-for-acute-pancreatitis
#3
Keita Wada, Tadahiro Takada, Koichi Hirata, Toshihiko Mayumi, Masahiro Yoshida, Masamichi Yokoe, Seiki Kiriyama, Masahiko Hirota, Yasutoshi Kimura, Kazunori Takeda, Shinju Arata, Morihisa Hirota, Miho Sekimoto, Shuji Isaji, Yoshifumi Takeyama, Toshifumi Gabata, Nobuya Kitamura, Hodaka Amano
When a diagnosis of acute pancreatitis (AP) is made, fundamental medical treatment consisting of fasting, intravenous (IV) fluid replacement, and analgesics with a close monitoring of vital signs should be immediately started. In parallel with fundamental medical treatment, assessment of severity based on clinical signs, blood test, urinalysis and imaging tests should be performed to determine the way of treatment for each patient. A repeat evaluation of severity is important since the condition is unstable especially in the early stage of AP...
January 2010: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/8091058/-acute-cholecystitis-conservative-therapy
#4
K Forssmann, M V Singer
In about 95% of patients with acute cholecystitis the cystic duct is obstructed by a gall stone. The imprisoned bile salts have a toxic action on the gall bladder wall. Acute cholecystitis is liable to be confused with other causes of sudden pain and tenderness in the right hypochondrium. Below the diaphragm, acute retrocecal appendicitis, intestinal obstruction, a perforated peptic ulcer or acute pancreatitis may be confusing factors; however, the gall bladder remains shrunken, fibrotic, full of stones and nonfunctioning...
August 9, 1994: Schweizerische Rundschau Für Medizin Praxis, Revue Suisse de Médecine Praxis
https://www.readbyqxmd.com/read/7235768/effect-of-bile-induced-pancreatitis-on-tobramycin-excretion-in-pancreatic-fluid
#5
J G Studley, J J Schentag, W G Schenk
The objective of this study has been to lay the groundwork for a re-evaluation of the place of antibiotics in acute pancreatitis. This section has been devoted to determining if antibiotics excreted by the normal pancreas are excreted similarly in acute pancreatitis. Ten mongrel dogs were studied, each acting as its own control. Day 1: Operation--construction of pancreatic fistula. Day 2: Study of antibiotic excretion. Day 14: Operation--induction of acute focal pancreatitis. Day 15: Study of antibiotic excretion...
May 1981: Annals of Surgery
https://www.readbyqxmd.com/read/2574234/detection-of-cathepsin-b-and-l-elastase-tryptase-trypsin-and-dipeptidyl-peptidase-iv-like-activities-in-crevicular-fluid-from-gingivitis-and-periodontitis-patients-with-peptidyl-derivatives-of-7-amino-4-trifluoromethyl-coumarin
#6
S W Cox, B M Eley
Crevicular fluid samples were collected from 20 gingivitis and periodontitis patients using filter paper strips; these were then eluted into buffer. Portions of each sample were combined and the activities of this pooled eluate against different peptidyl derivatives of 7-amino-4-trifluoromethyl coumarin (AFC) were examined with respect to their pH profiles and effector responses. Ca-thepsin B- and L-like activity was detected with Bz-Val-Lys-Lys-Arg-AFC; elastase-like activity with MeOSuc-Ala-Ala-Pro-Val-AFC; tryptase-like activity with Z-Ala-Ala-Lys-AFC; trypsin-like activity with Z-Gly-Gly-Arg-AFC; and dipeptidyl peptidase (DPP) IV-like activity with Ala-Pro-AFC...
November 1989: Journal of Periodontal Research
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