Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of genetically confirmed hereditary pancreatitis (PRSS1 mutation). Reports recurrent episodes of epigastric pain radiating to the back, associated with nausea and occasional emesis. Current episode duration: [X] days. Pain intensity [0-10]. No current signs of malabsorption, steatorrhea, or unintentional weight loss. Adherence to pancreatic enzyme replacement therapy (PERT) and low-fat diet is [reported/not reported].
Clinical Examination Findings
General: Patient appears [well-nourished/chronically ill]. Abdomen: Soft, tender to palpation in the epigastrium, no rebound or guarding. Bowel sounds present. No palpable masses or organomegaly. Skin: No jaundice or xanthomas. Vitals: Stable, afebrile. Assessment focuses on signs of chronic pancreatitis progression or acute exacerbation.
Treatment Protocol
1. Pancreatic Enzyme Replacement Therapy (PERT): [Dose] units with meals/snacks. 2. Pain management: Scheduled analgesia as per protocol. 3. Nutritional support: Low-fat diet, fat-soluble vitamin supplementation (A, D, E, K). 4. Surveillance: Annual screening for pancreatic adenocarcinoma via EUS/MRI/MRCP. 5. Smoking cessation and alcohol abstinence strictly advised.