13 Acute And Chronic pancreatitis Flashcards
What is acute pancreatitis
ICD-10
It is an acute inflammatory process that leads to necrosis of the pancreatic parenchyma
What are the signs and symptoms of acute pancreatitis
Abdominal pain (from front to back)
Nausea and vomiting
Diarrhoea
Fever and shock
What’s the diagnostic approach for pancreatitis
Simple Blood test Complex blood test Simple imaging Cross sectional imaging Invasive test
What is the invasive test for pancreatitis
ERCP - endoscopic retrograde colangiopamcreatography
What are the risk factors for severity
Necrosis and non necrosis Alcohol Organ failure Age Co morbidies
What causes acute pancreatitis
GET SMASHED
gall stone, ethanol, trauma, steroids, mumps, autoimmune, scorpion bite, hyperlipidemia, ERCP and drugs
Complications of pancreatitis
Systemic: Hypovolaemia Shock Fever Hypoxia Hyperglycaemia Hypercalcaemia DIC Multiple organ failure
Localised Pancreatic necrosis Fluid collection - mature into pseudo cyst Splenic vein thrombosis Chronic pancreatitis
What is the treatment for pancreatitis
Supportive: Fluid Painkillers Nutrition Organ support Management of complication
What is chronic pancreatitis
Progressive fibrinoinflammatory process of the pancreas with permanent structural damage and impairment of exocrine and endocrine functions
What are the consequences of chronic pancreatitis
Malabsorption
Loss of 90% of exocrine function
Fat soluble vitamin malabsorption
What is the investigation of chronic pancreatitis
X ray
CT scan
Faecal elastase - marker for pancreatitis
What is the management of chronic pancreatitis
Stop alcohol
Small meals with low fat
Pancreatic supplement to replace enzymes (but dosage has to overcome gastric acid)
Analgesia
