Acute Pancreatitis Flashcards
1
Q
Epidemiology of acute panc.
A
1% of surgical admissions
40-50s peak
10%mort.
2
Q
Causes
A
Gallstones
Alcohol
Idiopathic
Main 3
3
Q
Pathophysioogy
A
All pathological processes lead to intrapancreatic zymogen activation and autodigestion with destruction of the acinar cells
Vessel autodigestion = retroperitoneal haemmorhage
4
Q
Presentation
A
Severer Pain > back Relief on sitting forward N+V Anorexia Jaundice
5
Q
Clinical signs
A
HR up RR up Fever BP low Jaundiced Cullens Grey turners Absent bowel sounds
6
Q
Ix in acute panc
A
Bloods: WBC, Amylase, LFTs, U+Es, Glucose, CRP
Urine: glucose up
Imaging: CXR, AXR, USS, Contrast CT
7
Q
Mx of acute panc
A
RESUS IV fluids Nutritional support but pancreatic rest Analgesia Antiemetic
