Patient Name: Karen Foster
Patient Number: 2009-7550-1
Birth Date: 02-14-1968
Report Date: 10-17-2009
Mrs. Foster is a 41 year old white female with a history of alcohol abuse. She is currently
taking azathioprine for rheumatoid arthritis and furosemide for hypertension. She has
recently been diagnosed with acute pancreatitis which is swelling (inflammation) of
the pancreas. The pancreas is the gland located behind the stomach. It releases digestive
enzymes and the hormones insulin and glucagon. In her family history, her father has
The main causes of acute pancreatitis in adults are:
Other causes include:
Certain medication such as azathioprine
Genetic factors (hereditary pancreatitis)
The symptoms are:
Abdominal pain that is greatest in upper abdomen.
Is persistent or chronic.
May be worse lying flat on the back.
May spread to the back or below the left shoulder blade.
May be worse after drinking alcohol.
Nausea or vomiting
An examination may show:
Low blood pressure
Rapid heart rate
Tests that show release of pancreatic enzymes:
Elevated serum amylase
Evelated serum lipase
Elevated urine amylase
Tests that show inflammation of the pancreas are:
Also a stethoscope can be used to hear crackles at the lung bases.
The blood tests are:
The prognosis is good if the patient avoids alcohol, but poor if does not.
There may be some complications such as:
Low blood pressure and