Chronic pancreatitis differential diagnosis: Difference between revisions
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! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! colspan=" | | | ||
! colspan="2" |History and Symptoms | |||
| | |||
! rowspan="2" |Physical examination | ! rowspan="2" |Physical examination | ||
! rowspan="2" |Laboratory findings | ! rowspan="2" |Laboratory findings | ||
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! rowspan="2" |Other findings | ! rowspan="2" |Other findings | ||
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! | !Abdominal pain | ||
!Steatorrhea | !Steatorrhea | ||
!Weight loss | !Weight loss | ||
! | !Fever | ||
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|[[Chronic pancreatitis]] | |[[Chronic pancreatitis]] | ||
|✔ | |||
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|✔ | |||
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|[[Diabetes mellitus|DM type II]], [[amylase]] and [[lipase]] levels may be slightly elevated | |[[Diabetes mellitus|DM type II]], [[amylase]] and [[lipase]] levels may be slightly elevated | ||
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|[[Retroperitoneal hematoma]] | |[[Retroperitoneal hematoma]] | ||
|✔ | |||
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|[[Anemia]] | |[[Anemia]] | ||
Revision as of 01:03, 6 November 2017
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Chronic pancreatitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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American Pancreatic Association Practice Guidelines |
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Chronic pancreatitis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Chronic pancreatitis differential diagnosis |
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Risk calculators and risk factors for Chronic pancreatitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Differentiating Chronic Pancreatitis from Other Diseases
Chronic pancreatitis needs to be differentiated from other diseases with similar presentation such as:
| Disease | History and Symptoms | Physical examination | Laboratory findings | Imaging findings | Gold standard | Other findings | |||
|---|---|---|---|---|---|---|---|---|---|
| Abdominal pain | Steatorrhea | Weight loss | Fever | ||||||
| Chronic pancreatitis | ✔ | ✔ | DM type II, amylase and lipase levels may be slightly elevated | ||||||
| Pancreatic cancer | |||||||||
| Autoimmune pancreatitis | |||||||||
| Lymphoma | |||||||||
| Pancreatic endocrine tumors | |||||||||
| Acute pancreatitis | |||||||||
| Cholangitis | |||||||||
| Biliary obstruction | |||||||||
| Pseudocyst | |||||||||
| Pancreatic duct stricture/stone | |||||||||
| Cholecystitis | |||||||||
| Chronic gastritis | |||||||||
| Community-Acquired Pneumonia (CAP) | |||||||||
| Intestinal perforation | |||||||||
| Crohn disease | |||||||||
| Myocardial infarction | |||||||||
| Mesenteric artery ischemia | |||||||||
| Peptic ulcer disease | |||||||||
| Retroperitoneal hematoma | ✔ | Anemia | MRI is the best radiologic tool to differentiate between retroperitoneal masses. | ||||||
| Retroperitoneal abscess | ✔ | ✔ | Leukocytosis, positive inflammatory markers | ||||||
| Retroperitoneal tumors (.e.g. liposarcoma) | ✔ | ✔ | ✔ | positive tumor marker | |||||