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UNIT 5 GI > P4 CLINICAL > Flashcards

P4 CLINICAL Flashcards

1
Q

causes of acute pancreatitis

A

Gallstones , alcohol abuse
Endoscopic retrograd Ceholangiopancreatography (ERCP)

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2
Q

what drugs can cause acute pancreatitis

A

Corticosteroids , antibiotics

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3
Q

what gender is affected more with acute pancreatitis

A

males

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4
Q

Aetiology of acute pancreatitis in males

A

more often alcohol

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5
Q

Aetiology of acute pancreatitis in females

A

more often biliary tract disease

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6
Q

Characteristics of mild acute pancreatitis

A

Absence of organ failure
local, systemic complications

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7
Q

Characteristics of moderately severe acute pancreatitis

A

transient organ failure
and/or local or systemic complications

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8
Q

Characteristics of severe acute pancreatitis

A

Persistent organ failure

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9
Q

Clinical presentation of acute pancreatitis

A

dull , constant pain
nausea , vomiting

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10
Q

what is cullen sign

A

bluish discolouration around ubmilicus from hemoperitoneum

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11
Q

what is grey-turner sign

A

Reddish -brown discolouration along the flanks from retroperitoneal blood

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12
Q

cause of Erythematous skin nodules

A

focal subcutaneous fat necrosis

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13
Q

Abdominal and chest X-ray findings

A

pleural effusion , basal atelectasis , pulmonary infiltrates

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14
Q

abdominal ultara-sound findings

A

Pancreas appears diffusely enlarged to and hypoechoic
might visualise gallstones

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15
Q

abdominal CT findings

A

Pancreatic necrosis and local complications

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16
Q

Systemic complications pf acute pancreatitis

A

organ failure , shock , renal failure , pleural effusion , ARDS

17
Q

Management of mild acute pancreatitis

A

NPO , IV fluids , analgesics

18
Q

serum amylase and lipase levels in chronic pancreatitis

A

normal

19
Q

abdominal radiography and CT findings in chronic pancreatitis

A

Inflammation / calcium deposits
pancreatic calcifications

20
Q

name the procedure in which you get the most accurate visualisation of pancreatic ductal system

A

Endoscopic retrograde cholangiopancreatoghraphy / ERCP

21
Q

Complications of chronic pancreatitis

A

pseudocyst , obstruction of duodenum , pancreatic ascites
splenic vein thrombosis , portal hypertension

22
Q

Management of chronic pancreatitis

A

treat underlying cause
treat pancreatic insufficiency
pain relief , pancreatic enzyme supplement

UNIT 5 GI (34 decks)

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