Pacrestic Disase Flashcards
For acute pancreatitis what is the name of the algothrithim
Revised Atlanta class (2012)
Going off of the revised Atlanta classification, what two categories is acute pancreatitis split in
Interstial edematous
Necrotising
What is the less than 4 weeks and greater than 4 weeks fluid called in interstitial edematous pancreatitis
Acute peripancreatic fluid collection <4 weeks
Pseudo cyst > 4 weeks
What is the less than 4 weeks and greater than 4 weeks fluid called in necrotising
Acute necrotic collection
Walled off necrosis
These can parachuymal or peripancreatic
How might a WOPN be treated
CT
EUS guided stent
Repeat CT
Remove stent
What can pancreatic pleural fistula cause
Pleural effusion
When aspirating pancreatic fluid, which things are looked at
Cytology for malignancy Fluid amylase Serum amylase Protein Fluid albunim Serum albumin
What may be treatment for someone with pancreatic flural fistula
Pleural effusion aspiration HPB clinic Smoking cessation No alcohol Octreotide injections ERCP
What is a concern with someone with ascites
Poor nutrition
Weight loss
What is the treatment for someone with pancreatic ascites
Standard percutaneous ascites drainage Fluid amylase Fluid protein Serum ascites albumin gradient (determines portal hypertension ) NJ tube feeding Octreotide injections ERCP
What is chronic pancreatitis
Inflammation
Loss of function
Where is chronic pancreatitis of huge prevalence
India
What are causes of chronic pancreatitis
Alcohol
Cystic fibrosis
Congenital abnormalities like angular pancreas
Hereditary pancreatitis ; autosomal dominant
Hypercalcaemia
Diet
Risk to chronic pancreatitis in relation to alcohol and smoking is dose related, true or false
True
What are the symptoms to CP
Abdominal pain
Excroine insuffiency leading to dietary management
Endocrine insufficency
What symptom is most difficult to treat in CP
Abdominal pain
What methods of imaging ar most specific and sensitive for CP
MRI
EUS
If a patient has high risk or worrisome factors what occurs in relation to cysts
They get urgent HPE MDT discussion
What is the preferred method for PCL imaging
MRI
What biomarkers are checked in cyst fluid
DNA markers (GNAS, KRAS)
RNA or other protein marks
Carcino embryonic antigen
Amylase
Carinoma in the is more or less likely to cause pain
Less
What are common signs of carinoma in pancreases
Pain if in tail or body Weight loss Anorexia Fatigue Erythema nodosum Ascites Portal hypertension
In patients with cancer, what percentage are inoperable
70%
Use of radio frequency with stenting has been shown to increase latency and improve survival true or false
True
What technique is used to block pain in cancer
EUS Guided coeliac plexus block / neurolysis
What is the diff between block and neurolysis in EUS guided Coeliac plexus
Triamcinolone for block
Absolute alcohol for neurolysis
Neurolysis in people with severe pain
