PANCREATITIS AND TURNER'S SIGN


Scenario:
Sara is describing the symptoms she had over the last few days. These include abdominal pain, nausea, and vomiting. The nurse notes Sara's complaints and also does an assessment. She noted that there was tenderness over the abdomen. CT scan and lab values are ordered by the doctor. Lab values such as lipase and electrolytes may be ordered for the patient with pancreatitis.

What is Turner's Sign?
Turner's sign is an indication of acute pancreatitis. It shows as a bruising around the flank. Documentation should be done.

What is pancreatitis?
Pancreatitis is defined as inflammation of the pancreas. This condition may be acute or chronic. The Islets of Langerhans, which produce insulin, are in the pancreas. Insulin controls blood glucose.

How does pancreatitis develop?
Pancreatitis may be caused by:
- Alcohol ingestion in excess
- Trauma
- Tumors
- Certain medications, and more
- Gallstones: blockage of the common bile duct with gallstones from the gallbladder can cause a back-flow of pancreatic enzymes.

How is pancreatitis treated?
Acute pancreatitis may very readily resolve in a short period of time. IV therapy and antibiotics are included in the treatment process. Cholecystectomy (removal of the gallbladder) is sometimes done when pancreatitis is caused by gallstones. This surgical procedure can be done laparoscopically. This approach makes hospital stay shorter.

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