Chronic pancreatitis differential diagnosis: Difference between revisions
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! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! colspan="4" | | ! colspan="4" |History and Symptoms | ||
! rowspan="2" |Physical examination | |||
! rowspan="2" |Laboratory findings | ! rowspan="2" |Laboratory findings | ||
! rowspan="2" |Imaging findings | ! rowspan="2" |Imaging findings | ||
! rowspan="2" |Gold standard | |||
! rowspan="2" |Other findings | |||
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!Fever | !Fever | ||
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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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|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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|Pancreatic cancer | |Pancreatic cancer | ||
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|Peptic ulcer disease | |Peptic ulcer disease | ||
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|✔ | |✔ | ||
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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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|[[Retroperitoneal abscess]] | |[[Retroperitoneal abscess]] | ||
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|✔ | |✔ | ||
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|[[Leukocytosis]], positive inflammatory markers | |[[Leukocytosis]], positive inflammatory markers | ||
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|✔ | |✔ | ||
|✔ | |✔ | ||
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|positive [[tumor marker]] | |positive [[tumor marker]] | ||
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|} | |} | ||
Revision as of 14:44, 3 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
| Disease | History and Symptoms | Physical examination | Laboratory findings | Imaging findings | Gold standard | Other findings | |||
|---|---|---|---|---|---|---|---|---|---|
| Fever | Steatorrhea | Weight loss | Abdominal pain | ||||||
| Chronic pancreatitis | ✔ | ✔ | DM type II, amylase and lipase levels may be slightly elevated | ||||||
| Cholangitis | |||||||||
| Biliary obstruction | |||||||||
| Pseudocyst | |||||||||
| Pancreatic duct stricture/stone | |||||||||
| Cholecystitis | |||||||||
| Chronic gastritis | |||||||||
| Community-Acquired Pneumonia (CAP) | |||||||||
| Intestinal perforation | |||||||||
| Crohn disease | |||||||||
| Myocardial infarction | |||||||||
| Mesenteric artery ischemia | |||||||||
| Pancreatic cancer | |||||||||
| 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 | |||||