#25
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Вниманию уважаемых коллег следующий мнемоникс о причинах острого панкреатита.
“IT HURTS BADLY” Infection – virus (mumps, coxsackie virus), Mycoplasma and other Trauma – surgical, blunt trauma, ERCP. Hypercalcemia – hyperparathyroidism. Ulcer – perforated peptic ulcer. Renal – uremia, postrenal transplant Tumor – ampullary or pancreatic tumor. Structural – pancreas divisum, annular pancreas, duodenal diverticulum, Chrone disease. Biliary – gallstones. Alcohol ingestion Drug that “DEFEATS” the pancreas: Didanosine Estrogen Furosemide Erythromycin Azathioprine Tetracycline and Thiazides Sulfas Lipids – types I, IV, V hyperlipidemias. Y – idiopathic. |