A Patient with Chronic Pancreatitis, Requesting Demerol

A 47 y/o woman with cirrhosis, HCV, and chronic pancreatitis requests Demerol for the worst abdominal pain she has ever had. What's your diagnosis?  
Source: ConsultantLive - Category: Internal Medicine Authors: Tags: Gastrointestinal Disorders Source Type: news

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Conditions:   Chronic Pancreatitis;   Inflammatory Bowel Diseases;   Hepatitis;   NASH - Nonalcoholic Steatohepatitis;   Acute Pancreatitis;   Rheumatoid Arthritis;   Diabetes Mellitus;   Dyslipidemias;   Multiple Sclerosis;   Irritable Bowel Syndrome;   Chronic Pain;   Chronic Diseas e;   Chronic Kidney Diseases;   Crohn Disease;   Celiac Disease;   Biliary Cirrhosis;   Bile Acid Synthesis Defect;   Gastritis;   Cholecys...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Discussion Cystic fibrosis (CF) is an autosomal recessive disorder caused by mutations in the cystic fibrosis transmembrane receptor (CFTR). It is found in the epithelium of the bronchi, intestine, pancreatic duct and biliary tree. It regulates chloride, bicarbonate and water secretion. The heterozygous state helps prevent against secretory diarrhea, but the homozygous state causes thickened secretions in the hollow tubes of the lungs and digestive tract. There are multiple mutations (> 2000) which have been currently classified into classes depending on their protein production and activity. CF patients generally are l...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Question: A 56-year-old man with a previous history of cirrhosis secondary to chronic hepatitis C infection was admitted with increased abdominal volume and dyspnea. Physical examination revealed a large volume of ascites and periumbilical ecchymosis (Figure A). He was hemodynamically stable and laboratory included hemoglobin of 9.7 g/dL, platelet count of 142,000/mm3, and an International Normalized Ratio of 1.27. He had no abdominal pain and serum amylase was normal. A diagnostic and therapeutic paracentesis revealed an hemorrhagic ascites, with a serum ascites albumin gradient of 1.8, no evidence of peritonitis, and neg...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Clinical Challenges and Images in GI Source Type: research
More News: Chronic Pain | Cirrhosis | Gastroenterology | Internal Medicine | Pain | Pancreatitis