scholarly journals Some Aspects of Differential Diagnosis and Treatment of Pain Syndrome in Chronic Pancreatitis

2021 ◽  
Vol 17 (28) ◽  
pp. 72-78
Author(s):  
E.A. Dubtsova ◽  
◽  
L.V. Vinokurova
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pain Syndrome ◽  
Diagnosis And Treatment ◽  
Individual Susceptibility ◽  
Presence And Absence

Abdominal pain syndrome is widespread in the population. Pain can be both organic and functional in nature. Pain cider in chronic pancreatitis is characterized by a variety of manifestations, it depends not only on the severity of inflammation, the presence and absence of complications, but as well on individual susceptibility. Due to the fact that abdominal pain in chronic pancreatitis is multicomponent, its treatment requires the careful and deliberate approach using a variety of techniques

scholarly journals Chronic pancreatitis: differential diagnosis of pain with a syndrome approach treatment

2018 ◽  
Vol 42 (4) ◽  
pp. 26-35
Author(s):  
T. N. Hristich ◽  
D. O. Hontsariuk
Keyword(s):  
Internal Medicine ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Literature Review ◽  
Clinical Picture ◽  
Treatment Strategies ◽  
Pain Syndrome ◽  
Diagnostic Methods ◽  
Essential Problem

The aim of literature review is to highlight the essential problem of internal medicine – a differential diagnosis of abdominal pain syndrome in chronic pancreatitis. Features of the clinical picture of abdominal pain in the main diseases of internal medicine are presented. The effectiveness of laboratory and modern instrumental diagnostic methods and their significance in tactics and treatment strategies are discussed in detail.

Ultrasound-Guided Subcostal TAP Block with Depot Steroids in the Management of Chronic Abdominal Pain Secondary to Chronic Pancreatitis: A Three-Year Prospective Audit in 54 Patients

Pain Medicine ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 118-124 ◽  
Author(s):  
Gopinath Niraj ◽  
Yehia Kamel
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pain Relief ◽  
Myofascial Pain ◽  
Visceral Pain ◽  
Pain Syndrome ◽  
Chronic Abdominal Pain ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

Abstract Background Chronic pancreatitis is a common cause of recurrent chronic abdominal pain that utilizes significant health care resources. Pain in chronic pancreatitis can be of two types. Visceral pain occurs during ongoing pancreatic inflammation. Once pancreatic inflammation subsides, the pain generator can move to the abdominal wall as a result of viscerosomatic convergence and present as abdominal myofascial pain syndrome. Subcostal transversus abdominis plane block is an abdominal plane block that has been proven effective in upper abdominal pain of somatic origin. Design The authors discuss the two distinct types of chronic abdominal pain as a result of pancreatitis and present a prospective audit of a management pathway. Methods Over a three-year period, 54 patients with chronic abdominal pain as a result of pancreatitis were prospectively audited at a tertiary care university hospital. Patients were offered bilateral subcostal transversus abdominis plane block with depot steroids as the primary interventional treatment in the pathway. Results In patients with myofascial pain secondary to chronic pancreatitis, the block was effective in producing clinically significant pain relief at three months (95%, 20/21) and durable pain relief lasting six months (62%, 13/21). In patients with visceral pain, the block produced a transient benefit lasting two to three weeks in one-third (six of 17). Conclusions Subcostal transversus abdominis plane block may be an option in the management of abdominal myofascial pain syndrome secondary to chronic pancreatitis. The block is ineffective in producing clinically significant pain relief in the presence of ongoing pancreatic inflammation.

scholarly journals Differential diagnosis of abdominal pain syndrome in girls

2021 ◽  
Vol 17 (2) ◽  
pp. 84-89
Author(s):  
E.Yu. Dyakonova ◽  
◽  
P.V. Khrolenko ◽  
A.S. Bekin ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pain Syndrome

scholarly journals Acute Abdominal Pain in Children: Causes and Development Factors

2017 ◽  
Vol 14 (1) ◽  
pp. 55-59
Author(s):  
E. A. Romanova ◽  
L. S. Namazova-Baranova ◽  
E. Yu. Dyakonova ◽  
A. Yu. Romanov ◽  
K. S. Mezhidov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Primary Care Physicians ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Prehospital Care ◽  
Pain Syndrome ◽  
Diagnostic Methods ◽  
Problem Solution ◽  
Technical Equipment

Currently differential diagnosis of acute abdominal pain syndrome in children at prehospital care units is vital and urgent problem which requires solution. Unfortunately, embarrassing mistakes are still followed by late or inadequate treatment and complications as a result. The problem solution requires both medical stuff alert and diagnosis algorithm revision and improvement. Improvement of technical equipment and availability of instrumental diagnostic methods at the out-hospital settings is a pressing need. The article provides a classification, detailed pathogenesis, and clinical presentation of acute abdominal pain in children under different nosologies (therapeutic and surgical). We considered the problem of adequate differential diagnosis of acute abdominal pain in children when the diagnostics is performed by primary care physicians and specialists of emergency medical services at the prehospital stage.

A Historical Review of Complex Regional Pain Syndrome in the “Guides Library”

2009 ◽  
Vol 14 (6) ◽  
pp. 1-9
Author(s):  
Robert J. Barth
Keyword(s):  
Differential Diagnosis ◽  
Complex Regional Pain Syndrome ◽  
Reflex Sympathetic Dystrophy ◽  
International Association ◽  
Historical Review ◽  
Pain Syndrome ◽  
Sixth Edition

Abstract Complex regional pain syndrome (CRPS) is a controversial, ambiguous, unreliable, and unvalidated concept that, for these very reasons, has been justifiably ignored in the “AMA Guides Library” that includes the AMAGuides to the Evaluation of Permanent Impairment (AMA Guides), the AMA Guides Newsletter, and other publications in this suite. But because of the surge of CRPS-related medicolegal claims and the mission of the AMA Guides to assist those who adjudicate such claims, a discussion of CRPS is warranted, especially because of what some believe to be confusing recommendations regarding causation. In 1994, the International Association for the Study of Pain (IASP) introduced a newly invented concept, CRPS, to replace the concepts of reflex sympathetic dystrophy (replaced by CRPS I) and causalgia (replaced by CRPS II). An article in the November/December 1997 issue of The Guides Newsletter introduced CRPS and presciently recommended that evaluators avoid the IASP protocol in favor of extensive differential diagnosis based on objective findings. A series of articles in The Guides Newsletter in 2006 extensively discussed the shortcomings of CRPS. The AMA Guides, Sixth Edition, notes that the inherent lack of injury-relatedness for the nonvalidated concept of CRPS creates a dilemma for impairment evaluators. Focusing on impairment evaluation and not on injury-relatedness would greatly simplify use of the AMA Guides.

Petrous Apex Lesions: Differential Diagnosis and Treatment

Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
Anna Papadopoulou ◽  
Apostolos Papadopoulos ◽  
Giorgos Tzindros ◽  
Nikolaos Marangos
Keyword(s):  
Differential Diagnosis ◽  
Diagnosis And Treatment ◽  
Petrous Apex

PERANAN RADIOLOGI PADA KASUS TUMOR WILMS’

2020 ◽  
Vol 4 (1) ◽  
pp. 26-33
Author(s):  
Galuh Ayu Treswari ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta
Keyword(s):  
Differential Diagnosis ◽  
Distant Metastasis ◽  
Wilms Tumor ◽  
Diagnosis And Treatment ◽  
Tumor Extension ◽  
Abdominal Tumors ◽  
Pathology Reports

Wilms’ tumor is the most frequent renal malignancy in childhood with the highest incidence per year, approximately 7,8 cases per 1.000.000in children under 15 years-old and frequently occurred in 2-5 years of age (highest incidences in 3 years-old). There are many differential diagnosis of intra-abdominal tumors and the correct differential diagnosis are detrimental to the prescribed treatments for the patients.Medical imaging along with pathology reports is a precise way to determine the appropriate diagnosis and treatment. Imaging gives information about tumor extension and distant metastasis, especially useful for indicating pre-operative chemotherapy.

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