Chronic pancreatitis differential diagnosis: Difference between revisions
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! rowspan="2" |Laboratory findings | ! rowspan="2" |Laboratory findings | ||
! rowspan="2" |Imaging findings | ! rowspan="2" |Imaging findings | ||
! rowspan="2" | | ! rowspan="2" |Comments | ||
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!Abdominal pain | !Abdominal pain | ||
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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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|Pancreatic cancer | |Pancreatic cancer | ||
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|Ampullary carcinoma | |Ampullary carcinoma | ||
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|Autoimmune pancreatitis | |Autoimmune pancreatitis | ||
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|Lymphoma | |Lymphoma | ||
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|Pancreatic endocrine tumors | |Pancreatic endocrine tumors | ||
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|Acute pancreatitis | |Acute pancreatitis | ||
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|Cholangitis | |Cholangitis | ||
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|Biliary obstruction | |Biliary obstruction | ||
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|Pseudocyst | |Pseudocyst | ||
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|Pancreatic duct stricture/stone | |Pancreatic duct stricture/stone | ||
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|Cholecystitis | |Cholecystitis | ||
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|Chronic gastritis | |Chronic gastritis | ||
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|Community-Acquired Pneumonia (CAP) | |Community-Acquired Pneumonia (CAP) | ||
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|Intestinal perforation | |Intestinal perforation | ||
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|Crohn disease | |Crohn disease | ||
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|Myocardial infarction | |Myocardial infarction | ||
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|Mesenteric artery ischemia | |Mesenteric artery ischemia | ||
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|Peptic ulcer disease | |Peptic ulcer disease | ||
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|[[Anemia]] | |[[Anemia]] | ||
|[[MRI]] is the best radiologic tool to differentiate between retroperitoneal masses. | |[[MRI]] is the best radiologic tool to differentiate between retroperitoneal masses. | ||
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|[[Leukocytosis]], positive inflammatory markers | |[[Leukocytosis]], positive inflammatory markers | ||
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|positive [[tumor marker]] | |positive [[tumor marker]] | ||
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Revision as of 21:32, 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 | Comments | |||
|---|---|---|---|---|---|---|---|---|
| Abdominal pain | Steatorrhea | Weight loss | Fever | |||||
| Chronic pancreatitis | ✔ | ✔ | ✔ | - | DM type II, amylase and lipase levels may be slightly elevated | |||
| Pancreatic cancer | ||||||||
| Ampullary carcinoma | ||||||||
| 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 | ||||