Pancreatic disease Flashcards
what is elevated in acute pancreatitis?
elevation of serum amylase
causes of pancreatitis? (8)
alcohol gallstones trauma drugs viruses cancer autoimmune idiopathic
symptoms in pancreatitis? (6)
abdominal pain pyrexia tachycardia vomiting hyperglycaemia hypocalcaemia
Investigations in pancreatitis?
endoscopic retrograde cholangiopancreatography (ERCP) blood test (amylase/lipase) abode US + CT
assessment of severity?
WCC Glucose+Urea Albumin Calcium Glasgow score >3 CRP>80
management of acute pancreatitis?
analgesia IV fluids blood transfusion NG O2 CT aspiration in necrosis antibiotics
complications?
abscess + pseudocyst
chronic pancreatitis causes?
CF
alcohol
congenital
chronic symptoms?
abdo pain
weight loss
exocrine insufficiency
pain control in chronic pancreatitis?
avoid alcohol
enzyme supplements
opiates
coeliac plexus block
most common pancreatic carcinoma?
duct cell mutinous adenocarcinoma
symptoms of pancreatic cancer?
upper abdo pain painless jaundice anorexia+weight loss fatigue ascites
physical signs of pancreatic cancer?
abdo mass+tenderness
hepatomegaly
jaundice
supraclavicular lymphadenopathy
management of pancreatic cancer?
most are inoperable (pancreatoduodenectomy)
palliation of jaundice
pain control
chemotherapy
