1474 results
Pancreatitis Complications - Necrotizing Pancreatitis and Fluid Collections
Interstitial Edematous (85%):
 • Acute Pancreatic Fluid Collection (APFC)
15%): • Acute necrotic ... • Walled-off necrosis ... pancreatic duct syndrome
Management of Necrotizing Pancreatitis

Severe Pancreatitis
Pathophysiology
Diagnosis of Pancreatic Necrosis
Infected Necrosis
Complications of Severe Pancreatitis: 
1) Pancreatic Fistula
2) Disconnected
of Pancreatic Necrosis ... Infected Necrosis ... Pancreatic Duct Syndrome ... Guidelines #Pancreatic #Necrosis
Calcific Uremic Arteriolopathy (calciphylaxis) - Hand photo and XRay
Based on this image, what is the likely
calciphylaxis) - clinical syndrome ... calcification -> tissue necrosis ... Note necrotic lesions
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... Acute tubular necrosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
acute tubular necrosis ... tuberculosis Fatty - Nephrotic ... syndrome ("Maltese
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
cholestasis, no necrosis ... HELLP Syndrome ... unless massive necrosis ... Patchy/extensive necrosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Stevens-Johnson syndrome ... Necrosis should ... resolution of necrosis ... #Esophageal #Necrosis
DRESS Syndrome vs SJS/TEN
DRESS
 • Latency: 2-8 weeks
 • Rash: Morbilliform
 • Mucosal involvement: 50% have
DRESS Syndrome vs ... Full-thickness epidermal necrosis ... SCVMCMed #DRESS #Syndrome
Diagnosis of Cryoglobulinemia Vasculitis

1) Presence of cryoglobulin 
Circulating immunoglobulins that precipitate with cold temperature and dissolve
Ulcers, distal necrosis ... Hyperviscosity syndrome
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... rash, soft tissue necrosis ... #Toxic #Shock #Syndrome