Week 4- Case study 1

Week 4- Case study 1

Cecilia is a 43-year-old radiology tech that has had epigastric discomfort that last for hours, bloating and anorexia for 4-5 days but no diarrhea, vomiting but sl nausea. She wants to be evaluated for cholelithiasis. You order labs and the results are as follows: Lipase 189 mg, Amylase 420mg, WBC 12,900, non-fasting BS 100mg/dl, AST 290 U/L, LDH 580 U/L

Question 1
What is your diagnosis?
A.
A. Diverticulitis
B. Cholelithiasis
C. Appendicitis
D. Pancreatitis
Question 2
What is your next course of action?
Question 3
What does your patient teaching include?
Question 4
Discuss Ranson’s criteria for pancreatitis mortality.

 

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