Acute pancreatitis - mx

Question 1

Blood tests - Ix

Answer 1

1. Serum amylase x 3 upper limit of normal
2. Serum Lipase is raised and more accurate
3. CRP raised
4. LFTs
5. Calcium and glucose

Question 2

Imaging - Ix

Answer 2

1. Ultrasound - shows gallstones
2. Abdominal x ray
3. Chest X ray - pleural effusion

Question 3

Name 3 early complications?

Answer 3

1. hypocalcaemia
2. diabetes mellitus
3. Sepsis / SIRS

Question 4

Name 3 late complications?

Answer 4

1. Psuedocyst
2. Chronic pancreatitis
3. Sepsis

Question 5

Treatment

Answer 5

1. treat underlying cause

2. ERCP and laproscopic cholecystectomy - if associated with gall stones and gall bladder