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Pancreatic pain is characteristically described as a constant, severe, dull, epigastric pain that often radiates to the back and typically worsens after high-fat meals. However, many different pain patterns have been described, ranging from no pain to recurrent episodes of pain and pain free intervals, to constant pain with clusters of severe ...
Common symptoms of acute pancreatitis include abdominal pain, nausea, vomiting, and low to moderate grade fever. [2] [3] The abdominal pain is the most common symptom and it is usually described as being in the left upper quadrant, epigastric area or around the umbilicus, with radiation throughout the abdomen, or to the chest or back. [4]
Abdominal pain (sudden onset of epigastric or back pain), hypertension, new aortic murmur: Clinical (history and physical exam) Imaging: Chest X-ray (showing widened mediastinum), CT angiography, MRA, transthoracic echocardiogram/TTE, transesophageal echocardiogram/TEE IV fluid resuscitation Blood transfusion as needed (obtain type and cross)
The most common symptoms of pancreatitis are severe upper abdominal or left upper quadrant burning pain radiating to the back, nausea, and vomiting that is worse with eating. The physical examination will vary depending on severity and presence of internal bleeding. Blood pressure may be elevated by pain or decreased by dehydration or bleeding.
[13] [14] Referred pain is experienced most commonly radiating down the left arm however it can also radiate to the lower jaw, neck, back and epigastrium. Some patients, especially elderly and diabetics , may present with what is known as a painless myocardial infarction or a "silent heart attack".
Abdominal angina usually starts 30 minutes after eating and persists for one to three hours. Individuals typically express the pain as a dull ache by clenching their fists over the epigastrium (Levine sign). [3] Sometimes people may reduce their caloric intake in an attempt to decrease pain which can lead to weight loss.
In anatomy, the epigastrium (or epigastric region) is the upper central region of the abdomen. It is located between the costal margins and the subcostal plane . Pain may be referred to the epigastrium from damage to structures derived from the foregut .
Caput medusae is the appearance of distended and engorged superficial epigastric veins, which are seen radiating from the umbilicus across the abdomen. The name caput medusae (Latin for "head of Medusa") originates from the apparent similarity to Medusa's head, which had venomous snakes in place of hair.