Acute pancreatitis Flashcards
Four causes of acute pancreatitis?
I GET SMASHED idopathic gallstones ethanol trauma steroids mumps autoimmune scorpion/spider bite hyperlipidaemia/calcaemia.parathyroidism ERCP Drugs
Which drugs can cause acute pancreatitis?
tetracyclines, furosemide, thiazides
How does acute pancreatitis present?
upper abdo pain radiating to back N/V jaundice shock retroperitoneal bleeding
Which signs of retroperitoneal bleeding are associated with pancreatitis?
cullen’s and grey turner’s sign
What are the investigations for acute pancreatitis?
serum amylase LFTs/CRP/glucose CXR US Contrast CT
Which criteria help to assess the degree of severity in acute pancreatitis?
age, pO2, WCC, calcium, ALT/LDH, glucose, urea, albumin
What is the management of acute pancreatitis?
IV fluid resus O2 Analgesia Abx if sepsis Nutrition
List 3 complications of acute pancreatitis?
pancreatic necrosis psudocyst pleural effusion splenic vein/portal vein thrombosis multi-organ failure
Do you need to CT pancreas in acute pancreatitis?
no, US is sufficient as sequalae of disease takes around 10 days to reduce, therefore can do CT at this point
How is acute pancreatitis diagnosed?
clinical suspicion, increased amylase, and image confirmation
Does amylase level reflect severity of pancreatitis?
No not at all!
What is the management of acute pancreatitis?
IV fluids, analgesia, anti-emetics. No abx
When would you give antibiotics in acute pancreatitis?
if evidence of necrosis
Name a severity scoring system for pancreatitis
Glasgow score- age, WCC, glucose
When would you CT someone with gallstone pancreatitis?
only if no gallstones are found on US and there are signs of deterioration
