<prompt> Acute pancreatitis is associated with all exceptSteatorrhoeaEpigastric tendernessUpper abdominal painCullens sign  <response>: Steatorrhoea is seen in chronic pancreatitis not in acute pancreatitis Cardinal symptom of acute pancreatitis Epigastric or periumbilical pain that radiated to the back Nausea, vomiting Pain is constant. Dehydration, poor skin turgor , tachycardia, hypotension, dry mucous membrane Flank Grey Turner, periumbilical cullens sign inguinal ecchymosis Fox sign are indicative of retro peritoneal bleeding associated with severe pancreatitis Ref: Sabiston 20th edition Pgno :1524-1528 