In the beginning the temperayuta this normal or lower than the hours rises from 37.6 to 38.4, when the case is a patient suddenly enters a state of shock were found or semicoma, on occasions has yellowing of the conjunctiva of the eye (jaundice). In 20% of patients showed a loosening of the upper abdomen, due to paralysis of the stomach (gastric ileus) or an inflammatory pancreatic mass larger than the stomach moves forward. It checks the abdominal tenderness, usually an extremely painful upper abdomen (epigastrium), which on occasions is so intense that rigidity of the muscles beyond the pain of what is called, abdomen table. In acute pancreatitis must be as deferential diagnosis box, full abdominal pain! among which are: perforated gastric or duodenal ulcer, mesenteric infarction, intestinal obstruction with strangulation, ectopic pregnancy, ruptured aneurysm desiccant, biliary colic, appendicitis and diverticulitis. Among the complementary tests: amylase and lipase increased acquiesces in the 1st day and return to normal over the next seven days. Leukocytes rise between 12,000 to 20,000 /, PCV was back in the 50-55% as a consequence of the great loss of inflammatory fluid to the third space. While most men take Kamagra, some of them pop order viagra it up to just last longer in bed. If doing so allows the babies to spend just a few more days in the womb, this could make a big difference to the check out for more info levitra 40 mg. Get the best item and carry on exactly how you want – without limitations. / What is Kamagra Polo?Kamagra Polo is the new formulation of Kamagra, a well-known PDE5 inhibitor that shares the same properties but costs less. viagra sales france It’s swift, it’s efficient and when you sildenafil viagra it saves any embarrassment. The numbers of calcium 1 down day for the loss of albumin in inflammatory fluid or chemical burn. The plain abdominal radiograph shows the presence of gallstones within the pancreatic duct or gall bladder and intestinal ileus in the upper left chest in the Rx reveals atelectasis or pleural effusion.

Pancreatitis with necrosis and hemorrhage has a mortality of 10-50% and there is progressive decrease in hematocrit, presence of hemorrhagic fluid in ascites, decreased serum calcium and most striking, the main sign of Grey Turner (extravazacion to flanks) or Cullen (extravazacion to the navel). There Ranson criteria that gives us the guideline for the treatment and prognosis of severe pancreatitis: 1 .- more than 55 years 2 .- serum glucose above 200 mg / dl 3 .- serum LDH greater than 350 IU / L 4 .- AST formerly SGOT greater than 200 IU / L 5 .- Leucocytes increased to 16,000 uL The remaining signs are completed in 48 hours after admission the patient: 6 .- PCV decreased more than 10% 7 .- increased BUN greater than 5 mg / dl 8 .- Serum calcium greater than 8 mg / dl 9 .- manor PO2 60 mmHg 10 .- base deficit greater than 4 mEq / L 11 .- Estimated fluid sequestration of more than 6 liters. When there is a mild pancreatitis CT images shows a slight edema of the pancreas, its proostico is excellent, but if you have very temefacto, the prognosis is severe with a slow recovery and risk becoming chronic pancreatitis. Faced with this very serious hospitalization is convenient patient with sudden abdominal pain to be supplemented by laboratory tests and treatment initiated aggressive fluid replacement for the great extravazacion inflammatory or hemorrhagic and avoid serious complications, So again, do not attempt to self or ambulatory resolution.