Diagnostic tests/ Treatments

Question 1

Severity of pancreatitis

Answer 1

BUN

Question 2

SIRS

Answer 2

temp, HR, RR, and WBC ; if 2 or more than positive

3 or more - more aggressive monitoring

Question 3

evaluate biliary tree with pancreatitis

Answer 3

US of abdomen

Question 4

if diagnosis of pancreatitis is unclear

Answer 4

CT without IV contrast

Question 5

if pancreatitis after 72 hours has persistent SIRS to evaluate for NECROTIZING pancreatitis

Answer 5

CT with IV ( or MRI)

Question 6

Pancreatitis Treatment

Answer 6

symptomatic tx for interstitial
1) fluid resuscitation (lactated ringers)
2) pain management
3) supplemental O2
other tx:
-observe for signs of organ failure: respiratory depression and renal failure
-nutrition(ASAP)
-ERCP

Question 7

Pancreatitis complications

Answer 7

pseudocysts (EUS to drain it when symptomatic)-most common
necrotizing pancreatitis and abscess
GI bleeding (Hemosuccus pancreatitis-emergency bleeding through the duct of the pancreas)
splenic infarction
organ failure, Respiratory insufficiency, renal failure

Question 8

chronic pancreatitis

Answer 8

analyze fecal fats for steatorrhea

Question 9

Chronic pancreatitis treatment

Answer 9

pain control-Narcotics
pancreatic enzyme supplement 
insulin
endoscopic therapy
surgical therapy

Question 10

Chronic pancreatitis, radiology

Answer 10

anatomical abnormalities (calcifications + abnormalities of pancreatic duct)
imagining studies most frequent way of diagnosis
most sensitive is EUS

Question 11

Initial tests for pancreatic cancer

Answer 11

US and CT scan

Question 12

definitive tests for pancreatic cancer

Answer 12

endoscopy: aspiration biopsy, ERCP

Question 13

Blood tests of pancreatic cancer

Answer 13

CEA, POA used to monitor not diagnosis!