Acute Pancreatitis Flashcards
1
Q
Aetiology
A
Gallstones
Alcohol damage
Spincterectomy
2
Q
Diagnosis
A
Physical palpitation not possible Stool samples Diagnostic imaging Blood tests (high serum amylase + lipase) Based on symptoms + alcohol misuse
3
Q
Assessment of severity
A
Mild/moderate/severe
77% cases mild
Mortality ~10-15%
4
Q
Symptoms
A
N+V Fever Malnutrition Upper abdo pain Malabsorption Systemic complications
5
Q
Management
A
Fluids
Pain relief
Conservative
6
Q
Artificial nutrition
A
Enteral vs parenteral debate
Symptoms same whether peptide based or standard polymeric
Jejunal feeding 40-60cm beyond ligament of Treitz to decrease pancreatic stimulation
7
Q
Symptoms subside
A
Gradual re-intro of food + fluid
Dietary fat intake
Poor nutritional intake
