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Necrotic pancreatitis, CT scan reports cyst, fever, white blood corpuscles, no tuberculosis, multi organ failure, no abdominal pain. Surgery? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi
User :   Hello Dr
User :   actually i need ur assistance
Doctor :   Hi
Doctor :   Please proceed with the query.
Doctor :   ok
User :   what can be the associated risk for necrotic pancreatitis
User :   My uncle is right now admitted in hospital for this and since last 2 months he is not at all recovering
User :   no not at all, he is only 35 years of age
Doctor :   Does he drink alcohol?
User :   no..
Doctor :   Is he having any medical illness?
User :   actually he frequently eats out, and recent CT scan report revealed formation of cyst 0.4mm
User :   he is getting fever continuously
Doctor :   Is he overweight?
User :   admitted thrice because of this problem
User :   yes
User :   but there is no pus formation till now
Doctor :   Did the doctor mention pancreatic necrosis
User :   right now yes
User :   since last 2 months
Doctor :   Does he take medicines fequently.
User :   no not at all
Doctor :   No, previously
User :   some of the doctors say he wont survive for much longer time
User :   no not at all
Doctor :   Did he have any previous surgery or gall bladder stones,
User :   now his WBC count has also reached beyond 30,000
User :   he was, but not now
Doctor :   What is his weight.
Doctor :   Is he in icu
User :   his wt is approx 60 kg
User :   5 feet 5 inches height
Doctor :   What is his weight.
User :   no
Doctor :   ok
Doctor :   Any previous accidents
Doctor :   There might be some cause , maybe virus like mumps,
User :   No
Doctor :   CMV virus.
Doctor :   did he have fever before this
User :   right now he gets fever often.x ray report revealed plueral effusion
Doctor :   ok
User :   But blood test shows negative for TB
Doctor :   it can show multi organ failure
User :   but how come pancreatitis cause multi organ failure
User :   actually m bit confused by whats happening to him right now
Doctor :   Chances are they can spread
Doctor :   sometimes it is autoimmune
User :   but if its autoimmune then how did he didnt react since child hood
Doctor :   body cells itself destroy the good cells
User :   could you help me out in indicating few test parameters by which we can atleast conclude the actual reasion
Doctor :   it happens suddenly
User :   30,000
User :   as of today
Doctor :   whats his wbc count
Doctor :   that is ok
User :   well his SGOT and SGPT were WNL..
Doctor :   do you know his serum AST and LDH levels
User :   only amylase was elevated last month
User :   the reading showed approx 300 to 400
Doctor :   what level
User :   his Hb has reduced down a lot
User :   pls wait
Doctor :   how much is it
User :   let me get the details
Doctor :   his oxygen, bp
User :   serum creatinine 1.4
User :   amlylase now is 45
User :   platelets above 5 lac
User :   we will be getting LFT and Lipids by tomorw morning
Doctor :   ok
User :   CSF was also collected
Doctor :   ok
User :   what do you suggest
Doctor :   ok
User :   Lungs shows fatty consolidation on left mid lower section
Doctor :   s creatinine is slightly increased
Doctor :   Parameters are normal now
User :   what all reports u would require
Doctor :   but still you should get other reports
Doctor :   lft and lipids.
Doctor :   how is his condition now.
User :   fever is gone, gets a sleep, no more abdominal pain since last few days
Doctor :   Do not worry right now
Doctor :   till all his reports come, they cannot say anything
User :   only concern is this is happening from last 2 months, and he has become impatient
Doctor :   Ok
Doctor :   He might recover.
Doctor :   Is he on feeding tubes
User :   no he is on IV fluids and also eats liquid diet like khichdi n all
Doctor :   on oxygen?
User :   whats the % recovery for such cases since it has turned chronic
Doctor :   Sometimes it is chronic.
Doctor :   Once treatment is given properly with right antibiotics he will be ok
Doctor :   sometimes he might need surgery
Doctor :   it depends on the patient status, age and reports
Doctor :   how well he can tolerate treatemnt
User :   but cyst is 0.4 mm, doctor says surgery not needed
User :   ok doctor thanks for your valuable time to me
Doctor :   Ok, depends on the treating doctor.
Doctor :   yes , you are welcome
Doctor :   Kindly login for further medicla queries.
User :   sure
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