pancreatic conditions

Question 1

what is acute pancreatitis

Answer 1

acute inflammation of pancreas, spillage of pancreatic enzymes into surrounding tissue

Question 2

causes of pancreatitis

Answer 2

gallbladder disease, etoh, drug reactions, cancer, hypertriglyceridemia

Question 3

what is cullens sign

Answer 3

discolouration of umbilical area due to intraperitoneal hemorrhage

Question 4

what is grey/turners sign

Answer 4

flank discolouration indicative of necrotising pancreatitis

Question 5

complications of acute pancreatitis?

Answer 5

pseudocyst (next to pancreas, resolves in weeks, risk of perforation, treat via drain)

abscess (infected cyst, sepsis risk, drainage treatment, ab pain w high fever w elevated WBC)

Question 6

nursing interventions acute pancreatitis

Answer 6

vitals, FBC, pain, reduce pancreatic enzymes via NGT/NPO/antacids/PPIs, surgery to drain, semi fowler

Question 7

clinical manifestations chronic pancreatitis

Answer 7

episodes of ab pain with recurrent attacks, LUQ, heaving burning pain not relieved by food, weight loss, jaundice, constipation, dark urine