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Y3R6: Surgery I 👨‍⚕️ > L20: Acute Pancreatitis > Flashcards

L20: Acute Pancreatitis Flashcards

1
Q

Def of Acute Pancreatitis

A
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2
Q

Marseille’s Classification Of Pancreatitis

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3
Q

Epidemeology of Acute Pancreatitis

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4
Q

Percent of severe Acute Pancreatitis

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5
Q

…… pancreatitis account for 90% of cases

A

Biliary + alcoholic

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6
Q

Even in the west, …… pancreatitis is the most prevalent type.

A

biliary

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7
Q

Etiology of Acute Pancreatitis

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8
Q

Other Causes of Acute Pancreatitis

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9
Q

Final Common Pathway of Pathogenesis of Acute Pancreatitis

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10
Q

Theories of Biliary Acute Pancreatitis

A
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11
Q

Theories of Biliary Acute Pancreatitis

  • Common Channel Theory
A
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12
Q

Theories of Biliary Acute Pancreatitis

  • Incompetent Sphincter Theory
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13
Q

Theories of Biliary Acute Pancreatitis

  • Co-Localization Theory
A
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14
Q

What is the most acceptable theory for acute Pancreatitis?

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15
Q

Types of Acute Pancreatitis According to time

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16
Q

Types of Acute Pancreatitis according to Severity

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17
Q

Types of Acute Pancreatitis according to morphology

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18
Q

Symptoms of Acute Pancreatitis

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19
Q

Characters of Pain in Acute Pancreatitis

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20
Q

General Signs in Acute Pancreatitis

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21
Q

Local Signs in Acute Pancreatitis

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22
Q

Lab INVx in Acute Pancreatitis

A
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23
Q

Lab INVx in Acute Pancreatitis

  • CBC
A
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24
Q

Lab INVx in Acute Pancreatitis

  • BUN & Creatinine
A
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25
Q

Lab INVx in Acute Pancreatitis

  • ABG
A
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26
Q

Lab INVx in Acute Pancreatitis

  • Liver Enzymes
A
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27
Q

Lab INVx in Acute Pancreatitis

  • Serum Albumin
A
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28
Q

Lab INVx in Acute Pancreatitis

  • Urine Analysis
A
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29
Q

Lab INVx in Acute Pancreatitis

  • Serum Amaylase
A
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30
Q

What is the easiest & Most Widely Used Lab INVx in Acute Pancreatitis?

A
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31
Q

Normal Levels of Serum Amylase

A
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32
Q

Values of Serum Amylase in Acute Pancreatitis

  • Suggestive Levels
  • Diagnostic Levels
A
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33
Q

When does serum amaylase rise in Acute Pancreatitis?

A
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34
Q

Falcies of serum amaylase rise in Acute Pancreatitis

A
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35
Q

What does persistent High Levels of Amaylase in Acute Pancreatitis Indicate?

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36
Q

Which is more specific, Serum Amaylase or serum Lipase?

A
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37
Q

Causes of Increased Serum Amaylase

A
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38
Q
A
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39
Q

Rad INVx in Acute Pancreatitis

  • X-Ray
A
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40
Q

Disadvantages of X-Ray in Acute Pancreatitis

A
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41
Q

Findings of US in Acute Pancreatitis

A
42
Q

Uses of US in Acute Pancreatitis

A
43
Q

Findings of Contrast CT in Acute Pancreatitis

A
44
Q

if ….

A
45
Q

Indications of Contrast CT in Acute Pancreatitis

A
46
Q

CT Grading in Acute Pancreatitis

A
47
Q

Complications of Acute Pancreatitis

A
48
Q

Local Complications in Acute Pancreatitis

A
49
Q

General Complications of Acute Pancreatitis

A
50
Q

General Complications of Acute Pancreatitis

  • Etiology of Shock
A
51
Q

General Complications of Acute Pancreatitis

  • Consequences of Shock
A
52
Q

General Complications of Acute Pancreatitis

  • Managment of Shock
A
53
Q

General Complications of Acute Pancreatitis

  • Etiology of Resp Failure
A
54
Q

General Complications of Acute Pancreatitis

  • CP of Resp Failure
A
55
Q

General Complications of Acute Pancreatitis

  • Etiology of Hypocalcemia
A
56
Q

General Complications of Acute Pancreatitis

  • Managment of Hypocalcemia
A
57
Q

General Complications of Acute Pancreatitis

  • TTT of Pleural effusion
A
58
Q

General Complications of Acute Pancreatitis

  • Etiology of ARDS
A
59
Q

General Complications of Acute Pancreatitis

  • CP of ARDS
A
60
Q

Local Complications of Acute Pancreatitis

  • Time of Pancreatic Abcess
A
61
Q

Local Complications of Acute Pancreatitis

  • Cause of Pancreatic Abcess
A
62
Q

Local Complications of Acute Pancreatitis

  • TTT of Pancreatic Abcess
A
63
Q

Local Complications of Acute Pancreatitis

  • Time of Pseudocyst (Vide Infra)
A
64
Q

Local Complications of Acute Pancreatitis

  • Incidence of Pseudocyst (Vide Infra)
A
65
Q

Local Complications of Acute Pancreatitis

  • Results of Pseudo aneurysm (Vide Infra)
A
66
Q

Local Complications of Acute Pancreatitis

  • Causes of Pseudo aneurysm (Vide Infra)
A
67
Q

Bleeding into the pancreatic duct is called …….

A

haemosuccus pancreaticus.

68
Q

Local Complications of Acute Pancreatitis

  • Mortality of Pseudo aneurysm (Vide Infra)
A
69
Q

Local Complications of Acute Pancreatitis

  • TTT of Pseudo aneurysm (Vide Infra)
A
70
Q

Prognostic Systems of Acute Pancreatitis

A
71
Q

Ranson’s Criteria of Acute Pancreatitis NOT Due to Gallstones

A
72
Q

Ranson’s Criteria of Acute Pancreatitis Due to Gallstones

A
73
Q

Managment Principles of Acute Pancreatitis

A
74
Q

Steps of Managment of Acute Pancreatitis

A
75
Q

Managment of Acute Pancreatitis

  • Aspiration with Ryle Tube
A
76
Q

Managment of Acute Pancreatitis

  • Blood Transfusion
A
77
Q

Managment of Acute Pancreatitis

  • Charts
A
78
Q

Managment of Acute Pancreatitis

  • Drugs
A
79
Q

Managment of Acute Pancreatitis

  • Prophylactic antibiotics (Uses & Examples)
A
80
Q

Managment of Acute Pancreatitis

  • LMW Dextran
A
81
Q

Managment of Acute Pancreatitis

  • Dopamine
A
82
Q

Managment of Acute Pancreatitis

  • Exploratomy Laparotomy
A
83
Q

Managment of Acute Pancreatitis

  • Indications of Exploratomy Laparotomy
A
84
Q

Peritoneal lavage is done followed by insertion of tube drain (Lavage has shown some benefits).

A
85
Q

Incases of infected necrosis, a …… is done.

A

necrosectomy

86
Q

The wound can be left open as laparotomy or with mesh or zip.

A
87
Q

With the advent of wonderful imaging techniques, surgical intervention is rarely being done in the initial phase of acute pancreatitis.

A
88
Q

In early cases, the pancreas should not be handled.

A
89
Q

Managment of Acute Pancreatitis

  • Fluids
A
90
Q

Compare Between Acute Edemetous, Necrotizing (Sterile), Necrotizing (Infected) Pancreatitis

  • Admission
  • IV Fluids
  • Blood Transfusion
  • Antibiotics
  • Oral Nutrition
  • Hypomagnesemia & Hypocalcemia
  • Oxygen
  • Sugar
A
91
Q

Managment of Acute Pancreatitis

  • Role of Prophylactic Antibiotics
A
92
Q

Managment of Acute Pancreatitis

  • Role of Prophylactic Antibiotics (Drugs Used)
A
93
Q

Managment of Acute Pancreatitis

  • Role of Prophylactic Antibiotics (Efficacy)
A
94
Q

Managment of Acute Pancreatitis

  • When to Resume Oral Intake?
A
95
Q

Management of necrotic pancreatitis

  • Approach to Sterile Necrosis
A
96
Q

Managment of Acute Pancreatitis

  • Nutritional Support
A
97
Q

Managment of Acute Pancreatitis

  • Specific consideration of biliary pancreatitis
A
98
Q

Algorithm of TTT of Acute Pancreatitis

A
99
Q

Done

A
100
Q

Done

A

Y3R6: Surgery I 👨‍⚕️ (36 decks)

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