The presence of fecal-like vomit is a clinical symptom of acute pancreatitis. Acute pancreatitis (acutepancreatitis, AP) is a relatively common type of acute abdomen, and its incidence accounts for the third to fifth highest incidence of acute abdomen. More than 80% of these patients have a mild condition, namely acute edematous pancreatitis, which can be cured non-operatively and is basically an internal disease. What are the physical examination of fecal-like vomit? 1, body position: mostly lying flat or on the side, but prefer to lie still. 2, blood pressure, pulse, respiration: in edematous pancreatitis, there are mostly no obvious changes, but in hemorrhagic necrotizing pancreatitis, there may be a drop in blood pressure, accelerated pulse and respiration, and even shock. It is worth mentioning that in acute hemorrhagic necrotizing pancreatitis, acute respiratory distress syndrome (ARDS) can occur. This is a very dangerous syndrome that requires early diagnosis and treatment based on medical history, laboratory tests and other methods. 3.Tongue: the tongue is mostly light red, with infection it is more red or purple; the tongue is mostly thin and white or white and greasy, in severe cases it is yellow and greasy or yellow and dry. The diagnosis of acute pancreatitis is mainly based on clinical manifestations, relevant laboratory tests and imaging examinations, which are clinically required not only to make the diagnosis of pancreatitis, but also to evaluate its development, complications and prognosis. Any patient with epigastric pain should be thought of as having the possibility of acute pancreatitis. This article is a prerequisite for the diagnosis of acute pancreatitis. It is more likely to be pancreatitis, especially in those epigastric pain whose diagnosis is not yet clear or when it is not relieved by the administration of antispasmodic analgesics.