Chronic Pancreatitis Flashcards
1
Q
Causes of chronic pancreatitis
A
AGITS
Alochol Genetic Immune Trigs elevated Structural
2
Q
Presentation of chronic pancreatitis
A
Mainly epigastric pain:
- to the back
- relieved by sitting back or heat application
- exacerbated by fatty foods or alcohol
Steatorrhoea Worse pain after food Wt. loss 'fear of food' DM Epigastric mass
3
Q
Ix to consider in chronic panc
A
Glucose elevated Faecal elastase decreased USS: may show pseudocyst AXR: may show pancreatic calcifications CT: may show pancreatic calcifications
4
Q
Mx of chronic panc
A
Analgesia Creon ADEK vitamins Possible DM management Reduce alcohol and change diet
5
Q
What makes pancreatitis chronic?
A
chronic pancreatitis is characterised by recurrent or persistent abdominal pain and progressive injury to the pancreas and surrounding structures, resulting in scarring and loss of function