Acute Pancreatitis Flashcards
1
Q
Causes?
A
GET SMASHED:
Gallstones Ethanol Trauma Steroids Mumps Autoimmune Scorpion Venom Hypertriglyceridaemia, Hyperchylomicronaemia, Hypercalcaemia, Hypothermia ERCP Drugs (azathioprine, mesalazine*, didanosine, bendroflumethiazide, furosemide, pentamidine, steroids, sodium valproate)
2
Q
Presentation?
A
severe, constant, epigastric pain. Radiates to back. Nausea and vomiting. Fever, distress, shock, abdominal tenderness and guarding.
Grey-turners sign develops after several days (flank bruising)
3
Q
Investigations?
A
Bloods: FBC, U&E’s, LFT’s, calcium, glucose, amylase (high), lipase (expensive), coagulation,
CXR
ABG
4
Q
Mx?
A
ABCDE Oxygen IV analgesia IV antiemetic NG tube Monitor urine output - catheter Refer specialist
