# Patient experienced severe _____, inflammation of the pancreas causing intense abdominal pain and elevated enzyme levels.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168459  
> language: ko  
> subject: Diseases of the digestive system

## 문제

Patient experienced severe _____, inflammation of the pancreas causing intense abdominal pain and elevated enzyme levels.

## 보기

1. pancreatitis **✔ 정답**
2. gastritis
3. enteritis
4. hepatitis
5. cholecystitis

**정답: 1**

## 해설

Pancreatitis is inflammation of the pancreas which occurs when digestive enzymes are activated before they are released into the small intestine and begin attacking the pancreas. Common causes include gallstones and alcohol abuse. It can be acute or chronic, characterized by severe abdominal pain, nausea, vomiting, and elevated pancreatic enzymes in the blood.

## 임상 시나리오

Pancreatitis:
- Acute vs Chronic classification
- Symptoms: abdominal pain, nausea, vomiting, fever, rapid pulse
- Diagnostic tests: serum amylase, lipase levels
- Causes: gallstones, alcohol abuse, trauma, medications
- Complications: pseudocysts, necrosis, organ failure
- Treatment: NPO, IV fluids, pain management
- Risk factors: obesity, smoking, high triglycerides
- Prevention: limit alcohol, healthy diet, gallstone management
- Enzyme types: amylase, lipase, trypsin
- Associated conditions: diabetes, malnutrition
- Anatomical location: behind stomach, near duodenum
- Functions of pancreas: endocrine, exocrine secretions
- Emergency signs: severe pain, shock symptoms
- Recovery: dietary modifications, lifestyle changes
- Long-term monitoring: enzyme levels, organ function

## 핵심 개념

- **pancreatitis** — Inflammation of the pancreas, characterized by severe abdominal pain and elevated digestive enzyme levels in the blood. Can be acute or chronic, often caused by gallstones or alcohol abuse.
- **gastritis** — Inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and indigestion. Can be acute or chronic, often caused by H. pylori infection or NSAID use.
- **enteritis** — Inflammation of the small intestine, typically resulting in diarrhea, abdominal pain, and fever. Often caused by viral or bacterial infections.
- **hepatitis** — Inflammation of the liver, which can be caused by viral infections, alcohol abuse, or autoimmune conditions. Can lead to jaundice, fatigue, and liver dysfunction.
- **cholecystitis** — Inflammation of the gallbladder, typically caused by gallstones. Characterized by severe right upper quadrant pain, fever, and nausea.

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