Pancreas Flashcards
1
Q
name the many causes of acute pancreatitis
A
Idiopathic Gallstones Ethanol consumption Trauma Steroids Mumps Autoimmune Scorpion bite Hyperlipdaemia ERCP Drugs
2
Q
How does acute pancreatitis present?
A
vomiting
nausea
severe epigastric pain that radiates to the back
fever and tachycardia
3
Q
Glasgow scoring of severity of pancreatitis
1 - mild
2-3 = moderate
3+ = severe
A
PaO2 <8kPa Aged > 55 Neutrophils over 15 calcium less than 2 uRea >16 enzymes (amylase and lipase skewed) Albumin <32 Sugar (blood glucose over 10 mmol/L
4
Q
How is acute pancreatitis managed?
A
IV fluids nil by mouth analgesia ERCP used in order to remove gallstones Abx
5
Q
What is chronic pancreatitis caused by?
A
long term overconsumption of alcohol
6
Q
What are the symptoms of chronic pancreatitis?
A
those of acute pancreatitis but less severe and for a prolonged period of time
7
Q
management of chronic pancreatitis
A
- lifestyle changes: stop drinking
- analgesia
- creon to replace enzymes due to loss of lipase
- ERCP with stenting
8
Q
in acute pancreatitis, what happens to amylase?
A
amylase is raised by 3x of the upper limit
