Online learning portfolio

 First case This is a case of a 55 year old man with severe acute pancreatitis who landed up with SIRS and Acute kidney injury, ARDS and paralytic ileus  The anatomical location is the inflammation to pancreas secondary to gallstones, alcoholism and hyperlipidemia.  Acute pancreatitis rarely lands up to end organ failure by release of proteolytic enzymes and cytokines causing peri pancreatitic inflammation, fat necrosis, coagulative necrosis, hemorrhage. The patient is complaining of pain abdomen because of pancreatitis and abdominal distension because of ascites due to third space fluid loss. Chest X-ray shows bilateral pleural effusion because of third space fluid loss.  A. CECT Abdomen to look for complications of pancreatitis and any pancreatic necrosis  ERCP for any obstructing gallstones  B. the patient was put on NPO as food intake when the pancreas is already inflamed is not advised as it leads to release of pancreatic enzymes  2. Antibiotics in acute pancreatitis is not advisa