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Surgery

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Question:

How is imaging for acute pancreatitis?

Author: H K



Answer:

Plain film abdomen (colon cutoff sign, sentinel loop, generalized bowel ileus, others [soft tissue epigastrum density, pancreatic calcifications, opaque GS, pleural effusion]) US (fails to image pancreas complete, superior to CT visualizing gall bladder and gall stones, - US doesn't R/O gall stone [only 50% are positive], detects extrapancreatic dilation, pancreatic edema and fluid, can give false info due to bowel gas) Contrast CT (Gold STD, indicated in sus of dx, ac pancreatitis clinically not improved for 2-3 days, sus of complications [peripancreatic fluid, necrosis, cysts])


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H K
H K