Pancreas Flashcards
0
Q
Relevant history for pancreatitis?
A
Gallstones, alcohol, drugs, trauma, infection, interventions (ERCP)
1
Q
Complications of severe pancreatitis?
A
Necrosis, abscess, pseudocyst
2
Q
Important investigations in pancreatitis?
A
Abdominal ultrasound - rule out biliary issues
AXR
CT, MRI, ERCP - if required
3
Q
Describe glasgow prognostic score for pancreatitis (PANCREAS)
A
PaO2 < 8kPa Age > 55 years Neutrophils (high WBC) Calcium < 2mmol/l Renal function (urea >16mmol/l) Enzymes (high AST/ALT or LDH) Albumin (low < 32) Sugar (glucose high >10)
4
Q
Pancreatitis symptoms?
A
Epigastric pain, can radiate to back Nausea and vomiting Indigestion Abdominal tenderness Loss of appetite, with possible w. loss Temperature Jaundice
5
Q
Treatment for psuedocyst
A
Endoscopic drainage
6
Q
Treatment for pancreatic abscess
A
CT guided drainage
7
Q
Main cause of chronic pancreatitis?
A
Alcohol abuse
8
Q
Other causes of chronic pancreatitis?
A
Idiopathic Pancreatic duct obstruction Tropical Autoimmune (IgG4) Hereditary eg cystic fibrosis
