Pancreatic disease Flashcards

1
Q

what is elevated in acute pancreatitis?

A

elevation of serum amylase

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2
Q

causes of pancreatitis? (8)

A
alcohol
gallstones
trauma
drugs
viruses
cancer
autoimmune
idiopathic
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3
Q

symptoms in pancreatitis? (6)

A
abdominal pain
pyrexia
tachycardia
vomiting
hyperglycaemia 
hypocalcaemia
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4
Q

Investigations in pancreatitis?

A
endoscopic retrograde cholangiopancreatography (ERCP)
blood test (amylase/lipase)
abode US + CT
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5
Q

assessment of severity?

A
WCC
Glucose+Urea
Albumin
Calcium Glasgow score >3
CRP>80
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6
Q

management of acute pancreatitis?

A
analgesia
IV fluids
blood transfusion
NG O2
CT aspiration in necrosis
antibiotics
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7
Q

complications?

A

abscess + pseudocyst

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8
Q

chronic pancreatitis causes?

A

CF
alcohol
congenital

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9
Q

chronic symptoms?

A

abdo pain
weight loss
exocrine insufficiency

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10
Q

pain control in chronic pancreatitis?

A

avoid alcohol
enzyme supplements
opiates
coeliac plexus block

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11
Q

most common pancreatic carcinoma?

A

duct cell mutinous adenocarcinoma

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12
Q

symptoms of pancreatic cancer?

A
upper abdo pain
painless jaundice
anorexia+weight loss
fatigue
ascites
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13
Q

physical signs of pancreatic cancer?

A

abdo mass+tenderness
hepatomegaly
jaundice
supraclavicular lymphadenopathy

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14
Q

management of pancreatic cancer?

A

most are inoperable (pancreatoduodenectomy)
palliation of jaundice
pain control
chemotherapy

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