10: Adult Pancreatitis Flashcards
1
Q
What are the 2 main causes of pancreatitis?
A
- ETOH (chronic)
- Gallstones (acute)
2
Q
According to the GET SMASHED acronym, what are causes of pancreatitis?
A
- G—Gallstones
- E—Ethanol
- T—Trauma
- S—Steroids
- M—Mumps
- A—Autoimmune pancreatitis
- S—Scorpion sting
- H—Hyperlipidemia, hypothermia, hyperparathyroidism
- E—ERCP (Endoscopic Retrograde Cholangiopancreatography)
- D—Drugs: corticosteroids, depakote, metformin
3
Q
What is the patho of pancreatitis?
A
- Activation of pancreatic enzymes from various processes results in an autodigestion of the pancreas.
- Process starts with inflammation and edema, which can lead to necrosis.
4
Q
Treatment for chronic pancreatitis.
A
Pancreatic enzyme replacement (Pancreatin, Pancrelipase)
5
Q
Why is treating recurrent pain such a challenge in chronic pancreatitis?
A
Many drugs are processed through the liver.
6
Q
Why is alcohol abstinence hard in chronic pancreatitis?
A
Sometimes it doesn’t help the symptoms.
7
Q
Progressive destruction of the pancreas through fibrosis, calcification, and inflammation.
A
Chronic Pancreatitis
8
Q
How do you handle acute pancreatitis in primary cure?
A
- Urgent care measures enroute to ED:
- VS
- IV access
- Lung sounds (pleural effusions, pneumonia)
