La pancreatitis aguda es una de las principales causas gastrointestinales por la cual se acude al cuarto de urgencias, y es una causa importante de morbimortalidad a nivel mundial. Se caracteriza por la activación desmedida de la tripsina en las células acinares del páncreas, provocando la autodigestión enzimática del tejido pancreático. La primera descripción de esta entidad fue realizada en el año 1652 por el médico danés Nicholaes Tulp. Sus principales etiologías son la litiasis biliar y el consumo excesivo de alcohol. Para establecer el diagnóstico de pancreatitis aguda se requieren al menos 2 de sus 3 criterios diagnósticos: dolor abdominal típico de pancreatitis, niveles de amilasa y/o lipasa séricos con elevación superior a 3 veces el límite de lo normal, hallazgos típicos de pancreatitis aguda por imagenología del abdomen. La hidratación, nutrición temprana y el manejo del dolor son los pilares en el manejo de una pancreatitis aguda

This study aimed to estimate the prevalence of musculoskeletal disorders and rheumatic diseases in the Warao, Kari’ña, and Chaima indigenous populations of Monagas State, Venezuela. A cross-sectional, analytical, community-based study was conducted in 1537 indigenous subjects ≥18 years old (38.6 % male, mean age 41.4 ± 17.5 years). The cross-culturally validated Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) diagnostic questionnaire was applied. Subjects with a positive COPCORD diagnosis (either historic or current pain) were evaluated by primary care physicians and rheumatologists. A descriptive analysis was performed and comparisons made using analysis of variance and the chi-square test. Pain in the last 7 days was reported by 32.9 %, with pain intensity, according to a Likert-type scale [no pain, 195 (38.5 %); minimal pain, 231 (45.6 %); strong pain, 68 (13.4 %); intense pain, 5 (0.9 %)], 38.0 % reported historical pain, and 641 (41.7 %) had either historic or current pain. Of the COPCORD-positive subjects, pain most frequently occurred in the knee, back, and hands. Musculoskeletal and rheumatic diseases included osteoarthritis (14.1 %), back pain (12.4 %), rheumatic regional pain syndromes (RRPS) (9.7 %), undifferentiated arthritis (1.5 %), rheumatoid arthritis (1.1 %), and fibromyalgia (0.5 %). Chaima (18.3 %) and Kari’ña (15.6 %) subjects had a high prevalence of osteoarthritis, and Warao subjects had a high prevalence of low back pain (13.8 %). The prevalence of RRPS was high in all three ethnic groups. The Chaima group had the highest prevalence of rheumatic diseases, with 2.0 % having rheumatoid arthritis. This study provides useful information for health care policy-making in indigenous communities.

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