My sister got acute pancreatitis when she got covid and had a blood clot in her pancreas. Her heart and lungs were fine but her kidneys were not 100%. They tried dyalisis on 3rd day but on 4th day they decided to open her up to relieve pressure. The pressure was 4xs normal. Umfortunately more blood clots were forming by then and all her intestines were dead. She died that day. I also would like to note that she was put on morphine for tge pain the enyire time. I did not hear your protocol for the presence if a vlood clot un the pancreas
Thanks sir, And one more request please make Systems related common conditions their presentation & diagnosis, recent treatment guidelines for general practitioners/ GP cases if possible. Many times we don’t know which drugs to choose & which investigations to be done also important is treatment (how many days etc etc)
*Pancreatitis* is the inflammation of the pancreas, *caused by* gallstones, alcohol, or other factors. *Symptoms include* severe abdominal pain, nausea, and vomiting. *Treatment involves* hospitalization, pain management, and addressing underlying causes. *_Chronic cases can lead to diabetes._*
I just failed the NCLEX. I cannot begin to articulate the level of embarrassment and heartache I'm feeling. I'm confident that I will be a good nurse. I just need to get past this, move on and persevere
Sir one question: during pancreatitis ,due to third space fluid loss and subsequent hemoconcentration ,hematocrit values will rise up but after fluid resuscitation there will be fall in hematocrit value,wont it???so why >10% fall of hematocrit after 48 hours included in severity index of ranson scoring? isn't it a normal thing to get fall in hematocrit after fluid resuscitation? Does more than 10% fall signify cut off lvl for fluid overload?or what? Please Solve my confusion sir.🙏
It's a very good and interesting question Dr. Santosh, you are totally right about fall in hematocrit after fluid resuscitation as a good indicator. But in ranson criteria fall in hematocrit mentioned is actually a "SUDDEN" drop in hematocrit of more than 10 percent, which is not a normal drop. A sudden drop of hematocrit by more than 10 percent is unlikely due to fluid resuscitation, it is most likely due to hemorrhagic pancreatitis. Which is indicative of deteriorating status of patient and severe pancreatitis. If there's still any confusion please ask.
Thank you sir for well organized lectures and simple understanding. i requested for add your lectures differential diagnosis,risk factors and so on thank you again sir
Sir it will be useful if you make an video on general pharmacology drugs classification , mechanism of action and it's uses in various diseases in general and contra indications (in general like very commonly useful ones and general mistakes usually made in practice sir
Helo doc we have high bilirubin and I am jaundice can you help me how down my bilirubin? I'm still waiting for may gastroenterology referral may jaundice almost 1month can you help me thank you
Sir everything thing has been done but escape serum amylase or serum lipase everything is normal CBC,LFT's,RFT's,BSR,PTT,INR,Hbsag by Elisa,HCV by Elisa,HIV,ECG,More then 5 times Abdomen Ultrasound by Cunsultan,CT scan contrast,MRCP but still unremarkable Just Highly elevated Serum amylase or lipase Patient age:25Y/M No history of Alcohol, Smoking, Steroids,Trauma,Dibates, Hypertension Sir kindly tell me what can i do?? Please 🙏
How to check health of pancreas,. Besides from abdomen Usg and serum amylase. Lipase.. Any other lab test which can detect early problem of pancreas. .. Any unusual symptoms
This was a wonderful lecture. In nursing school I struggled to understand G I disorders particularly Pancreatitis. In less than 30 minutes you broke down to me ❤❤
Ringer-Lactate solution must be avoided in hypercalcemia induced pancreatitis because of its contain of potassium! Morphine could increase the basal pressure of Oddi' sphincter and common bile duct, so it should be avoided.
Salaam sir, sir mery pas abdomen ka ct scan hai , plz aap check kary k mery pancreas mai stone hai ya gallbladder mai, plz help me, me aap ko link send kar raha ho, os mai pora video hai ct scan ki, plz hlp me sir, bcz mujhy digestion mai bohot masla aa raha hai
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My sister got acute pancreatitis when she got covid and had a blood clot in her pancreas. Her heart and lungs were fine but her kidneys were not 100%. They tried dyalisis on 3rd day but on 4th day they decided to open her up to relieve pressure. The pressure was 4xs normal. Umfortunately more blood clots were forming by then and all her intestines were dead. She died that day. I also would like to note that she was put on morphine for tge pain the enyire time. I did not hear your protocol for the presence if a vlood clot un the pancreas
Just reminding me my medical college days difference is I have more understanding and sincerity as I have am the lone decision maker in my clinic.👍👍
Practically everyone of us is in same situation 😂😂
You are a Gem amongst the medical fraternity sir ! Salute to you !
Thank you sir as always clear detailed presentation of AP,
Thanks sir,
And one more request please make Systems related common conditions their presentation & diagnosis, recent treatment guidelines for general practitioners/ GP cases if possible.
Many times we don’t know which drugs to choose & which investigations to be done also important is treatment (how many days etc etc)
Dr. Vinod Rajput, I will surely make such videos as you mentioned. Stay tuned 😊
crisp and concise! Love from India sir!
Rich source of medical information
Best presented, more better I am on this topic
Mashallah, appreciate your teaching,stay blessed sir
Thanks sir please also make similar videos on gastritis acute and chronic
Great lecture thank you so much ❤❤❤❤❤
Very much thanking you.... Great luctures...
Beautiful lecture!! Thank you!
Sir u explain effortlessly.....great explanation
What a fantastic, knowledgble Lecture. Thanks you Dr. _Ex,Director of Health.
Excellent video!
Dr. very well explained.
Sir! Thee way u to teach 🫠❤️ it makes us to revise easily
*Pancreatitis* is the inflammation of the pancreas, *caused by* gallstones, alcohol, or other factors. *Symptoms include* severe abdominal pain, nausea, and vomiting. *Treatment involves* hospitalization, pain management, and addressing underlying causes. *_Chronic cases can lead to diabetes._*
Thank you so much sir, your lectures are great,
Could you please make separate details video for ALD &CLD.
👏🏻🙌🏻
In 37.22 minutes you have delivered almost all things about acute pancreatitis.
Thanks from Bangladesh.
Thank you so much sir..for presenting this topic..🙏
Really you are the great.
Fantastic explanations.
Excelente explanation
You clear everything 😊
I just failed the NCLEX. I cannot begin to articulate the level of embarrassment and heartache I'm feeling. I'm confident that I will be a good nurse. I just need to get past this, move on and persevere
Sorry for your predicament, license is for everyone just have to work hard and believe you'll make it
I'm pretty sure I failed the nclex I just took it last week. I feel so down, I'm scared to use the quick result service 😢
Well I've taken the exams for the second time now and still didn't succeed, i wonder how those who succeeded did it
@@alicecarr You will pass everyone has their own season, just keep praying and believe you will receive
I used some Uworld, some Remar, and read a lil saunders. I did 3 nurse achieve exams and my result came back failed
Sir make video about sciatica
Isotretinoin also induce hypertriglyceride related drug induce rare idiosyncratic acute pancreatitis and NRTI drugs too
Jazakallah khair❤
Sir one question: during pancreatitis ,due to third space fluid loss and subsequent hemoconcentration ,hematocrit values will rise up but after fluid resuscitation there will be fall in hematocrit value,wont it???so why >10% fall of hematocrit after 48 hours included in severity index of ranson scoring? isn't it a normal thing to get fall in hematocrit after fluid resuscitation? Does more than 10% fall signify cut off lvl for fluid overload?or what?
Please Solve my confusion sir.🙏
It's a very good and interesting question Dr. Santosh, you are totally right about fall in hematocrit after fluid resuscitation as a good indicator. But in ranson criteria fall in hematocrit mentioned is actually a "SUDDEN" drop in hematocrit of more than 10 percent, which is not a normal drop. A sudden drop of hematocrit by more than 10 percent is unlikely due to fluid resuscitation, it is most likely due to hemorrhagic pancreatitis. Which is indicative of deteriorating status of patient and severe pancreatitis. If there's still any confusion please ask.
@@MedNerdDrWaqasFazal thank you sir.
I also had this confusion sir,TQ so much 🤗✨
Sir please make video on management of alcoholic patient
Try to talk a little slower,pls
Excellent elaboration! Missed you dear Sir in my college days! I pray My Lord for your welfare.
Many many thanks for the Concise lecture. The subject is more about biochemistry and its evaluation at frequently to plan the treatment procedure.
Superb❤
Asalam olekum sir.sir kindly start first Aid usmle step 1 book lectures
Sir you give lecture brick easily understand.sir prepare more lectures.
Salam sir g. Can we play sports in hbs durtion
Sir my amylise and lipase normal. Is any chance to pancreatitis with normal lipase??
Make video on Fluid therapy with calculations
Sir please make a video on SLE with treatment please please please sirji
Thank you for the excellent explanation! Coming from a patient who now has a much better understanding of her situation.I am grateful!
Grand ❤
thanks....excellent and understandable
SIr, thanks alot for this amazing presentation.Your explanation is so lucid that one nonmedico can understand so easily.
Sir if pt come in heart failure with acute pancreatitis how do I manage
Thank you sir for well organized lectures and simple understanding.
i requested for add your lectures differential diagnosis,risk factors and so on thank you again sir
Thank you! Great lecture.
Sir it will be useful if you make an video on general pharmacology drugs classification , mechanism of action and it's uses in various diseases in general and contra indications (in general like very commonly useful ones and general mistakes usually made in practice sir
Such a great doctor n mentor 🎉🎉❤...thanks for clearing concepts sir ...
Lucid n concise Presentation 💗
Thank you sir for wonderful lecture...great sir
Sir make video about sciatica
Thank u so much sir. JazakAllah khairan kaseera
Very nice sir your way of presentation is very good
Nice explanation sir.. thanks
❤❤
Tramadol can give or not sir...?
Helo doc we have high bilirubin and I am jaundice can you help me how down my bilirubin? I'm still waiting for may gastroenterology referral may jaundice almost 1month can you help me thank you
Sir everything thing has been done but escape serum amylase or serum lipase everything is normal CBC,LFT's,RFT's,BSR,PTT,INR,Hbsag by Elisa,HCV by Elisa,HIV,ECG,More then 5 times Abdomen Ultrasound by Cunsultan,CT scan contrast,MRCP but still unremarkable
Just Highly elevated Serum amylase or lipase
Patient age:25Y/M
No history of Alcohol, Smoking, Steroids,Trauma,Dibates, Hypertension
Sir kindly tell me what can i do??
Please 🙏
Look out for autoimmune pancreatitis. Treat the patient on protocols of pancreatitis.
Sir please provide notes also.
Awesome thanks a lot
Perfect video🎉🎉
What is the connection between pancreatitis and mumps? I was in hospital with Pancreatitis and suddenly, one morning, I woke up with mumps! Why?
Waiting for this sir ❤️🇳🇵
How to check health of pancreas,. Besides from abdomen Usg and serum amylase. Lipase.. Any other lab test which can detect early problem of pancreas. .. Any unusual symptoms
Thank you sir.
Thank you sir .... 🤗
Sir can we give dextrose normal saline for some time if patient is not taking any food for 2 or 3 days
Great
Thank you
Sir.
Thank you sir❤
What about Bonson's criteria require 24 to 48 hr examination where calcium levels are 8 but in acute pancreatitis it is less than 6
Thanks
Once i lied that im studying in phon today im really studying in phon ... love from the last bench sir ❤❤❤
This was a wonderful lecture. In nursing school I struggled to understand G I disorders particularly Pancreatitis. In less than 30 minutes you broke down to me ❤❤
Sir avoid morphine which can cause spasm of sphincter of oddi pethidine is given to control pain . Am I right pls correct me ...
Alls i know is that what im doing is clearing out whatever that acute pain is. slowly but surely.
Ringer-Lactate solution must be avoided in hypercalcemia induced pancreatitis because of its contain of potassium! Morphine could increase the basal pressure of Oddi' sphincter and common bile duct, so it should be avoided.
Great lectures , I liked many of them , you are enhancing knowledge of medics and paramedics beautifully , God bless you
Awesome sir .. bundle of thanks.. concepts are clear.
Mukeshambani sab kuch thik kr sakda
Superbb
Hlo sir
Great knowledge & wonderful teacher...thnx dr🎉
IV fluids therapy with calculations video plz
Can gallstones or pancreatic stones be dissolved without surgery?And with what?thank you for the great video.
Can you please upload a video of management of nephrotic syndrome
Excellent lecture. It will guide many specialists to start food early instead of keeping patients NPO unnecessarily.
Sir which book u read to understand internal medicine please suggest me also u r awesome I always remember ur lecture plz never end ur teaching
Very informative video sir..can we give Tramadol for pain control?
Sir please make more videos of general surgery topics like appendicitis
a greatful presentatin lecture
presantation
Salaam sir, sir mery pas abdomen ka ct scan hai , plz aap check kary k mery pancreas mai stone hai ya gallbladder mai, plz help me, me aap ko link send kar raha ho, os mai pora video hai ct scan ki, plz hlp me sir, bcz mujhy digestion mai bohot masla aa raha hai
Excellent, clearly explained
and precise info.. Thank you Sir👏
Sir pleas use white screen instead of black screen
Sir cn you upload all medicine topics ?
Excellent lecture. Very systematic and easy to follow.
Excellent lecture.Thank you sir
Sir pls make video on general examination of patient