clinical 1 change

Upload: roshan-singh

Post on 06-Apr-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/2/2019 Clinical 1 Change

    1/35

    NAME a

    Dharmendra kumar

    MOHSIN RAZA

    HARI PRAKASH BAJPAI

    ASHISH KUMAR DUBEYM.S.FARIDI

    YOGESH KM KULSHETRA

    MUKESH KUMAR

  • 8/2/2019 Clinical 1 Change

    2/35

    Mohan Chourasia

    Pallav Roy Choudhury

    Parmanand Rastogi

    Abhinav Srivastava

    Gautam Kumar Rishab Mudgal

    Parameshwar Deen

    Manjula Nigam

  • 8/2/2019 Clinical 1 Change

    3/35

    Neeru Agarwaal

    VidyaKant Bajpai

    Durganshu Mishra

    Shikha Arora

    Seema Mathur Niyaz ahmad

    Sunil kumar

    Ram teerth

  • 8/2/2019 Clinical 1 Change

    4/35

    DIAGNOSIS

    ACP

    RECURRENT ACUTE PANCREATITIS

    CP+ Pancreas divisum+ Hypertriglyceridemia+ DM F/O DM

    CP S F/O GBC

    CCP+DM +EXO INSUFFICIENCY

    ACP

    CCP+DM +EXO INSUFFICIENCY+ Vit D trail

    CCP+EXOCRINE AND ENDOCRINE INSUFFICIENCY+ hydroureteroRECURRENT ACUTE PANCREATITIS

    CCP+DM

    CP + Pancreas Divisum + DM

    CP

    CP+TYPE2 DM +EXO INSUFFICIENCY

  • 8/2/2019 Clinical 1 Change

    5/35

    CP

    CP + Severe haemolytic anemia with neutrophilia

    CP

    ACP

    ACP

    CCP + F/O GBC and Pancreatitic

    ACP

    CP

    CP+ Endocrne insufficiency + FCPD+ steatorrhea

    CP

    CP

    CP + Pancreas divisum

    CP

    CP

  • 8/2/2019 Clinical 1 Change

    6/35

    CCPl h

  • 8/2/2019 Clinical 1 Change

    7/35

    Community Place Economic Status weight

    Gorakhpur 250000 78

    Farukhabad 100000 54

    pandit Raebareily 150000 69

    Pandit Allahabad 350000 66

    muslim Lucknow 400000 68

    Lucknow 180000 44

    Patna 50000 56

    Unnao 600000 42Kanpur 260000 70

    Bareilly 50,000 54

    Lucknow 60,000 71

    Bhomiar Brahman Patna 100000 67

    Muslim Siddharthnagar 50,000 34

    pandit Shahjahanpur 36000 57h h

  • 8/2/2019 Clinical 1 Change

    8/35

    C Azhamgarh 50,000

    Bengali Calcutta 3,70,000

    Marawathi Bihar 2,50,000

    Lucknow 3,50,000

    Bihar

    Bareilly

    Lucknow 1,80,000

    Kayasth Lucknow 4,00,000

    Kayasth kanpur

    Aurriya

    Lucknow 2,00,000

    Khushinagar 2,00,000

  • 8/2/2019 Clinical 1 Change

    9/35

    / /

  • 8/2/2019 Clinical 1 Change

    10/35

    F/O of DM Family H/O of DM Alcohal

    0 yes

    1 no

    0 yes

    1 no

    0 yes

    0 yes

    1 no

    0 yes

    1 no

    1

  • 8/2/2019 Clinical 1 Change

    11/35

    1 no 3 no

    1 no 3 no

    0 yes 3 no

    0 yes 1 250

    0 yes 1 300

    0 yes 3 no0 yes 1 500

    0 yes 3 no

    0 yes 3 no

  • 8/2/2019 Clinical 1 Change

    12/35

    ki / F Di

  • 8/2/2019 Clinical 1 Change

    13/35

    smoking/ Factors Dieta

    no

    no

    no

    no

    no

    pan masala 6-7 packets / day

    no

    tobacco 8-9/ day from 15yrs

    no

    no

    no

    yes 5 bidi for 3 year

    no

    yes 5cig/day 14 yrs

  • 8/2/2019 Clinical 1 Change

    14/35

    oo

    o

    o

    o

    o

    15 bidis/ day for 17 yrs

    o

    o

    o

    o

    o

    o

  • 8/2/2019 Clinical 1 Change

    15/35

    PPBS HbA1C S l S li h l t l t

  • 8/2/2019 Clinical 1 Change

    16/35

    PPBS HbA1C Serum amylase Serum lipase cholestrol tr

    321 892 2268

    no no 451 27 153

    74.8 98

    8.8

    22 300 135

    1118 1453

    60 311 138

    197

    2040 1230 131

    230 117

    190 12.1 7 100 114067 977 159 72 109

  • 8/2/2019 Clinical 1 Change

    17/35

    067 977 159 72 109

    610 1052 111 155 29

    321

    582 57 222 409

    256 281

    42 38 148 61 98

    347 1689 104 78

  • 8/2/2019 Clinical 1 Change

    18/35

    Alb i Gl b li t t l t i S C t t l S

  • 8/2/2019 Clinical 1 Change

    19/35

    Albumin Globulin total protein Ser Ca total Seum ca

    9.8

    9

    4.9 7.9 10

    9.6

    4.6 8.8 10

    8

    8.6

    9.9

    9.5

    9.3

    4.9 7.6 10.1

    3.9 6.8 9

    2.8 10.1 7 6 9 1

  • 8/2/2019 Clinical 1 Change

    20/35

    7.6 9.1

    4.1 6.9 9.7

    4.7 6

    4.2 10.9 5.8

    6.7

    10.9

  • 8/2/2019 Clinical 1 Change

    21/35

  • 8/2/2019 Clinical 1 Change

    22/35

    Enzymes

    pancreoflat, Rabium, Ultrac

    Atorlip, venofit

    d l

  • 8/2/2019 Clinical 1 Change

    23/35

    panzynorm, tremandole

    Panlipase, Selace forte

    Atorlip, Finolip

    Panlipse, forte,creon

    l f t P

  • 8/2/2019 Clinical 1 Change

    24/35

    CT R

  • 8/2/2019 Clinical 1 Change

    25/35

    CT Report

    d

  • 8/2/2019 Clinical 1 Change

    26/35

    intraduc

  • 8/2/2019 Clinical 1 Change

    27/35

    MRI R t

  • 8/2/2019 Clinical 1 Change

    28/35

    MRI Report

    dorsal pancreatic duct is dominant and i

  • 8/2/2019 Clinical 1 Change

    29/35

  • 8/2/2019 Clinical 1 Change

    30/35

    USG Abdo

  • 8/2/2019 Clinical 1 Change

    31/35

    USG Abdo

    bulky with heterogenous echoes no collection and lesion, PD nt dilate

    PD dilated 14mm multiple calcification in head, body and tail, GB diste

    bulky,echogenic,heterogenous,irregular surface with intraductal calcu

    Intraductal calcification, prominent bowel loops noted in Abdomen

    tortious pancreatic duct having multiple calculi grade 1 fatty liver

    139 4 3

  • 8/2/2019 Clinical 1 Change

    32/35

    139 4.3

    134 3.7

  • 8/2/2019 Clinical 1 Change

    33/35

    IVS137T>C F508 G55

  • 8/2/2019 Clinical 1 Change

    34/35

    IVS137T>C F508 G55

    FF GD

    FF GG

    FF GG

    FF GG

    FF GG

    FT GG

    FF GG

  • 8/2/2019 Clinical 1 Change

    35/35

    FF GG

    FF GG

    FF GG

    FT GG

    FF GD