Pancreatic Disorders

Question 1

Best Initial Test for Acute Pancreatitis

Answer 1

Increased Amylase/Lipase

Question 2

Most Specific test for acute pancreatitis

Answer 2

CT or MRI

Question 3

Treatments for Acute Pancreatitis

Answer 3

NPO
IV Hydration
Analgesia
PPI
If >30% necrosis
-Imipenem or Meropenum
Infected, necrotic pancreatitis
-surgical debridement
Pseudocysts
-drain with needle

Question 4

Diagnosing Autoimmune (IgG4) Pancreatitis

Answer 4

ANA and RF +
Abd Ct
-enlarged sausage shaped pancreas
Increased IgG4
Biopsy
-lymphocytic/plasma cell infiltrates

Question 5

Treatment of Autoimmune (IgG4) Pancreatitis

Answer 5

Steroids

Question 6

Labs in Pancreatic Cancer

Answer 6

Increased Bilirubin
Increased Alkaline Phosphatase
Increased GGTP

Question 7

CT scan in pancreatic cancer

Answer 7

If (-) CT
-endoscopic US with biopsy of lesions

If (+) CT with clear lesion/mass
-Surgical Biopsy/Removal

Question 8

Follow Response to pancreatic cancer treatment with

Answer 8

CA 19-9