a fair fat forty three year old woman had been having episodes of griping abdominal pain after f

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A fair, fat, forty-three-year-old woman had been having episodes of gripping abdominal pain after fatty meals. One day she ate French onion soup with lots of cheese and suffered severe enough pain that she called in sick. Her supervisor pointed out that she always gets sick after fatty foods. She went to the clinic, and the nurse in triage took her vitals and history. The nurse noticed that the whites of her eyes were yellow and that she had tenderness on the right side of her abdomen. Blood pressure and heart rate were normal. The woman was given intravenous pain medications, and blood was drawn to assess liver and pancreatic function, given her gallstone history. Pancreatic enzymes were elevated, and the doctor diagnosed acute hemorrhagic pancreatitis. After her surgery to remove her gallbladder and clear the obstructed bile duct, the woman recovered uneventfully, and her pancreatitis resolved. 1. Now she wants to know what this surgery has done to her ability to produce bile and digest food. What is the answer? 2. Predicting complications of a disease is a key skill for any health professional. Unexpected complications can kill patientsâ€”in fact, they cause many deaths in the hospital, and those deaths happen when the people caring for patients have not thought of the other systems that will be affected by the disease and therefore were not looking out for signs of trouble in those systems. The doctor in this case was on the ball and immediately ordered tests for pancreatic enzymes. Unfortunately, that was not enough to catch the developing pancreatitis because as an acute ailment, it came on very quickly. If this woman had been under your care in the hospital that night, what would you have watched her for?

A fair, fat, forty-three-year-old woman had been having episodes of gripping abdominal pain after fatty meals. One day she ate French onion soup with lots of cheese and suffered severe enough pain that she called in sick. Her supervisor pointed out that she always gets sick after fatty foods. She went to the clinic, and the nurse in triage took her vitals and history. The nurse noticed that the whites of her eyes were yellow and that she had tenderness on the right side of her abdomen. Blood pressure and heart rate were normal.
The woman was given intravenous pain medications, and blood was drawn to assess liver and pancreatic function, given her gallstone history. Pancreatic enzymes were elevated, and the doctor diagnosed acute hemorrhagic pancreatitis. After her surgery to remove her gallbladder and clear the obstructed bile duct, the woman recovered uneventfully, and her pancreatitis resolved.

1. Now she wants to know what this surgery has done to her ability to produce bile and digest food. What is the answer?

2. Predicting complications of a disease is a key skill for any health professional. Unexpected complications can kill patientsâ€”in fact, they cause many deaths in the hospital, and those deaths happen when the people caring for patients have not thought of the other systems that will be affected by the disease and therefore were not looking out for signs of trouble in those systems. The doctor in this case was on the ball and immediately ordered tests for pancreatic enzymes. Unfortunately, that was not enough to catch the developing pancreatitis because as an acute ailment, it came on very quickly. If this woman had been under your care in the hospital that night, what would you have watched her for?

Added by Veronica S.

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