Pancreatitis | Clinical Medicine

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  • Опубліковано 6 чер 2024
  • Premium Member Resources: www.ninjanerd.org/lectures/pa...
    Ninja Nerds!
    In this lecture, Professor Zach Murphy will present on Pancreatitis. We will discuss the pathophysiology, focusing on the inflammation of the pancreas, which can be acute or chronic, and its causes, including gallstones and alcohol use. The session will transition to a digital presentation focused on the clinical manifestations, such as severe abdominal pain, nausea, and vomiting. Finally, we will review the diagnostic approach, highlighting blood tests for amylase and lipase, imaging studies like CT scans, and management strategies for Pancreatitis, emphasizing fluid resuscitation, pain management, and in severe cases, interventions to remove obstructions or necrotic tissue. Enjoy the lecture and support us below!
    Table of Contents:
    0:00 Lab
    0:07 Pancreatitis Introduction
    0:50 Pathophysiology | Acinar Cell Injury
    6:18 Pathophysiology | Ductal Cell Injury
    17:42 Complications | Systemic Inflammatory Response Syndrome (SIRS)
    29:29 Complications | Local Pancreatic Issues
    45:26 Complications | Chronic Pancreatitis Issues
    49:17 Diagnostic Approach to Pancreatitis
    56:12 Treatment of Pancreatitis
    1:01:19 Comment, Like, SUBSCRIBE!
    Retired Ninja Nerd Lectures:
    • Acute Pancreatitis | E...
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    #ninjanerd #gastrointestinal #pancreatitis

КОМЕНТАРІ • 72

  • @cliffcolter9161
    @cliffcolter9161 2 місяці тому +24

    Pancreatitis I know you well. Life long tea-toddler (Glass of Wine at dinner, Beer at a barbecue maybe 12 times a year) I spent 256 days in the hospital over 18 months. First Pancreatitis, then Chronic Pancreatitis, then Pancreatic Cysts. The cysts were so large that they collapsed my stomach and partially obstructed my bowels. Had to be tube fed special mixtures that were pumped directly into intestines and bypassed my stomach. The first time they they drained the Pancreatic Cyst it released almost 2 litres of liquid in the first five minutes. Even my Internal Medicine Specialist ran out of options. They installed a semi-permanent drain because it did make me feel better. The fluid just would never stop. Every day 300ml to 400ml of fluid. The pain was crazy throughout. These drains were only a temporary solution, the body would push them out after 4 to 6 weeks (but at least I was out of the hospital). They never did figure out what caused any of this to start... like I said not a drinker, no high blood pressure, no heart problems and no prescription or illicit drugs. Doctors were stumped. I had two operations to remove scar tissue from my Pancreas. Coded twice (once when a nurse pushed morphine to quickly and once during the second operation) Entered the hospital at 195lb. Left the hospital at 130lb. It was a nightmare! Still dealing with the aftermath.

  • @somavegh8488
    @somavegh8488 25 днів тому +7

    Just so you know, you are the reason that I'll be able to graduate from med school. Love you man

  • @mariama.sgodhelpme2264
    @mariama.sgodhelpme2264 2 місяці тому +2

    I missed your videos so much since I started clinical studying of internal medicine 😢 but okay now I found this great video 😊

  • @blessingvincent2440
    @blessingvincent2440 2 місяці тому +2

    Best teacher for medicine ever!!!! 🔥

  • @IMChessMD
    @IMChessMD 2 місяці тому

    Hey Professor Zach, big fan. I wanted to know if you will be posting any updated Neurology videos. Thank you and amazing work!

  • @sanjarbekkarimov764
    @sanjarbekkarimov764 2 місяці тому +1

    Thank you. Very useful content.

  • @perishing
    @perishing Місяць тому +1

    This doctor is Golden❤

  • @xuanthanh1073
    @xuanthanh1073 2 місяці тому +2

    Is there anybody watching the old ninja nerd acute pancreatitis video? . In my point of view, it is more interesting than this version. But ninja nerd is always the best. Love ❤️

    • @mukeshmali6064
      @mukeshmali6064 Місяць тому +1

      Where is old video of pancreatitis??.. it's way more better then this one...muje mil hi nhi Raha hai woh video..pls let me know if aapko mile toh

  • @shmebyulock4838
    @shmebyulock4838 Місяць тому

    Thank you a lot , you help to thousands of students , it is amazing , you make our lives better

  • @YaiBolAyuelDeng
    @YaiBolAyuelDeng 24 дні тому

    Hi Ninja nerd, I'm a big fan of you from South Sudan currently studying pharmacy in Cairo. Thanks for your support!

  • @firdawsomar9602
    @firdawsomar9602 Місяць тому

    Your lectures is always helpful thank you

  • @TheKingsGarden-eq5it
    @TheKingsGarden-eq5it 2 місяці тому

    As always, great!!!!

  • @sonamdhondup5426
    @sonamdhondup5426 Місяць тому

    wonderful lecture!

  • @spectre-24J
    @spectre-24J 26 днів тому

    such a great video, thank you very much Sensei.

  • @sanjith1179
    @sanjith1179 2 місяці тому +2

    I'm pratheesh from India (Tamil Nadu).big fan of you sir.say one hii sir.

  • @princenebert3142
    @princenebert3142 12 днів тому

    Thank you 😊🎉🎉🎉🎉❤❤❤❤❤.Such a wonderful lecture

  • @humanbeing3177
    @humanbeing3177 13 днів тому

    This is gold

  • @sajiruddinsk8129
    @sajiruddinsk8129 Місяць тому

    Thank you very much.

  • @julydamongilon4010
    @julydamongilon4010 Місяць тому

    Thank you. This helps me better understand pancreatitis. :)

  • @benisalarroo-lewis4309
    @benisalarroo-lewis4309 2 місяці тому

    Thank you

  • @mohd2412
    @mohd2412 2 місяці тому

    Great video sir !

  • @witekchojnacki9080
    @witekchojnacki9080 2 місяці тому

    My favorite University

  • @aquariusp1331
    @aquariusp1331 2 місяці тому +3

    Can you please reupload congenital heart disease

  • @AhmedAli-zw3ri
    @AhmedAli-zw3ri 2 місяці тому

    Glad to see you dear 😊❤

  • @user-pe5mr6xj3p
    @user-pe5mr6xj3p 11 днів тому

    Thanks

  • @anitaarinze1842
    @anitaarinze1842 Місяць тому

    Thanks 😊

  • @aleksandarkozokic
    @aleksandarkozokic 2 місяці тому +1

    Hello. What’s the importance of serum Calcium in an episode of acute pankreatitis ?

  • @wiamzaghzagh
    @wiamzaghzagh Місяць тому +2

    Hey thanks for this explanation ! PLease why are NSAID an contraindication for acute pancreatitis ??

    • @noorbadran5563
      @noorbadran5563 Місяць тому +2

      maybe because of the risk of hypovolemia, NSAIDs decrease kidney perfusion even further by constricting afferent arterioles

  • @jason_northwest2968
    @jason_northwest2968 2 місяці тому +1

    Amazing lecture!! Thank you!! I only have 2 questions
    1.If the kidneys have low perfusion, they increase the blood pressure, but you didn't mention it. Is it because the heart is working too bad and its hypotension outweighs the kidney's hypertension, so the result is hypotension?
    2. What would the situation be so the pseudoaneurysms form? I heard about them and thought that blood erosion could lead to that, but if all the possible blood vessels to erode are outside of the pancreas, I'm not sure how they can form

  • @Fightingbear-yj3is
    @Fightingbear-yj3is 16 днів тому

    Thank you for the lecture! Could anyone explain for me how the pancreatitis causes hypocalcemia ?

  • @user-rd3cq2yh7v
    @user-rd3cq2yh7v 27 днів тому

    thanks a lot bro, helped a lot.

  • @HarpreetKaur-ti2xp
    @HarpreetKaur-ti2xp Місяць тому

    Hi doctor it’s a wonderful video ,
    I had life taking pains after taking a very strong cough medication
    When I went through MRCP scans it shows
    Mildly enlarged pancreas showing loss of normal pancreatic lobulations with normal signal intensity noted. No peripancreatic fat stranding/collection noted. No focal lesion seen . MPD is not dilated
    what does it say about pano

  • @DarkMagician544
    @DarkMagician544 2 місяці тому

    I love you zac ❤️

  • @shubhamjarange4457
    @shubhamjarange4457 Місяць тому

    At last of lecture can you take some case studies related to lecture it will helpful 😊

  • @user-zu5ev1wy9h
    @user-zu5ev1wy9h 25 днів тому

    Who I can acceded to ninja nerd ressources ?

  • @judysims4298
    @judysims4298 Місяць тому

    How long does acute pancreatitis last and How do you keep it from not becoming chronic.

  • @stoezzyard5610
    @stoezzyard5610 2 місяці тому

    i love you zack

  • @superhama8018
    @superhama8018 21 день тому

    Too much love ❤

  • @mayacarmi3071
    @mayacarmi3071 2 дні тому

    Top !!

  • @aquariusp1331
    @aquariusp1331 2 місяці тому

    I have been studying from here and now not able to find it

  • @aammiirramir1183
    @aammiirramir1183 2 місяці тому

    Thanks ❤️‍🔥

  • @beastmode7107
    @beastmode7107 2 місяці тому

    nice

  • @hamsah9479
    @hamsah9479 7 днів тому

    the best

  • @Vaishnavigangane23
    @Vaishnavigangane23 Місяць тому

    Is there chronic pancreatitis video ?

    • @m7md2-
      @m7md2- 29 днів тому +1

      This video involve both Acute & chronic

  • @asmaameen7084
    @asmaameen7084 2 місяці тому

    Where can I find gi cancer?

    • @abrahamvos1477
      @abrahamvos1477 20 днів тому

      I'm also searching for it hahah.

    • @abrahamvos1477
      @abrahamvos1477 20 днів тому

      thank you btw Zach and the rest of the team! it should be you who should receive my degree!!

  • @user-pb4pe5qe3y
    @user-pb4pe5qe3y 2 місяці тому

    Looks like an handsome actors!!

  • @aseragalaly2540
    @aseragalaly2540 24 дні тому

  • @lamiaeberrada1500
    @lamiaeberrada1500 Місяць тому

    ❤❤❤

  • @lazarusz1738
    @lazarusz1738 Місяць тому

    ❤❤❤❤❤

  • @greatnessgezo5409
    @greatnessgezo5409 Місяць тому

    I'm not going to lie, I kept on getting distracted by Zack's monstrous back, I mean look at the size of that thing!!!!
    I assume you lift right? because there's no way that that's just what your mama gave you. Oh and awesome lecture too💥

  • @neerajtanwani9968
    @neerajtanwani9968 2 місяці тому

    👍👍👍

  • @ramissam
    @ramissam 2 місяці тому

    gamd

  • @lazarusz1738
    @lazarusz1738 Місяць тому

    ❤❤❤❤❤❤❤❤❤❤

  • @nikolacindric5806
    @nikolacindric5806 2 місяці тому

    Grad video

  • @its_me_im_cathi
    @its_me_im_cathi 2 місяці тому +1

    Why didn't you talk about autoimmune pancreatitis? I have that type and you didn't even mention it!!! I was told over and over my severe acute pancreatitis was most likely from alcohol, even though I have never used alcohol in my entire life plus the fact that I have Sjogren's Syndrome. My original doctor blew me off when I told him about AI pancreatitis being linked to my Sjogren's Syndrome. I finally convinced another gastro dr to do further testing and my IgG4 test was 305. Only then did I have an ERCP with a core biopsy that proved for sure I have AIP. Doctors need to stop having tunnel vision, they need to LISTEN to their patients and STOP gaslighting and ignoring them. I know my body, I know my lifestyle and doctors need to stop assuming their patients lie to them. I was totally honest, told my dr about AIP being linked to Sjogren's and he blew me off - it literally almost cost me my life.

  • @shamssameeh2116
    @shamssameeh2116 Місяць тому

    🧍🏻‍♀️

  • @alaa53ali
    @alaa53ali 24 дні тому

    💗💗💗💗💗💗💗💗🙂‍↔️

  • @abbasrabee5398
    @abbasrabee5398 2 місяці тому

    My hero academia

  • @user-bu9mk5hd1y
    @user-bu9mk5hd1y 2 місяці тому

    💯🥷💯🥷💯🥷💯

  • @ummesalma5327
    @ummesalma5327 Місяць тому

    Thanks, thanks a lot... Can't express my gratitude.....🥹🥹🥹🥹

  • @karrar5046
    @karrar5046 2 місяці тому

    Thank you

  • @user-nc8tx6hk4v
    @user-nc8tx6hk4v Місяць тому

  • @Mustafa-jh4xt
    @Mustafa-jh4xt Місяць тому

    ❤❤❤

  • @MuhammadAhsan-mp8hq
    @MuhammadAhsan-mp8hq 2 місяці тому

    ❤❤❤