Acute pancreatitis Flashcards
1
Q
Character of pain in AP
A
Stabbing
2
Q
Radiation of pain in AP
A
To back
3
Q
Pain in AP worsens on
A
Lying flat
4
Q
Pain in AP relieved on
A
Curling forward in foetal position
5
Q
Grey turner sign in AP
A
Bruising along flanks
6
Q
Cullen’s sign in AP
A
Bruising along peri-umbilical cord
7
Q
I GET SMASHED
A
- idiopathic
- gallstones
- ethanol
- trauma
- steroids
- mumps
- autoimmune - SLE
- scorpion bite
- hypercalcaemia/hyperglyceridemia/hypothermia
- ERCP
- drugs (FAT SHEEP)
8
Q
FAT SHEEP drugs
A
- furosemide
- azathioprine/asparaginase
- thiazides/tetracyclines
- statins/sulfonamides/sodium valproate
- hydrochlorothiazide
- estrogens
- ethanol
- protease inhibits & NRTIs
9
Q
Gallstones pancreatitis epi (age, gender)
A
- women
- elderly
10
Q
GS pancreatitis pathogenesis
A
- block ampulla of Vater
- bile reflux —> pain
- enzymes reflux —> inflammation
11
Q
Alcohol pancreatitis epi (age, gender)
A
- men
- young
12
Q
RFs for AP
A
- > 70
- obese
- heavy smoker/drinker
- FH
13
Q
An increase of amylase by how much over 24hrs is found in AP
A
3 fold
14
Q
Why is an increase of lipase is more preferable than an increase in amylase
A
More sensitive
15
Q
0-1 is what on the Glasgow Imrie Criteria for AP
A
Mild
