Pancreatic Disorders

Question 1

Acute Pancreatitis

Answer 1

Acute inflammation of the pancreas

Caused by gallstones, alcoholism, high triglycerides.

Question 2

Acute Pancreatitis S/S

Answer 2

Persistent, severe epigastric pain.
N/V
May get band like radiation of pain to back.
Dyspnea, shock
Fever, tachycardia

Question 3

Acute Pancreatitis Labs

Answer 3

Serum amylase rises quickly
Serum lipase is best indicator
CRP rises after

Question 4

Acute Pancreatitis Tx

Answer 4

Admit, fluid, analgesia
Abx
Surgery?
Usually recover in 3-5 days

Question 5

Chronic pancreatitis

Answer 5

Progressive inflammatory changes generally caused by alcoholism

Question 6

Chronic pancreatitis S/S

Answer 6

Chronic abd pain
Pancreatic insufficiency
Steatorrhea
Pancreatic diabetes

Question 7

Pancreatic cancer

Answer 7

4th leading cause of cancer death in US.
Poor prognosis
Caused by smoking, chronic pancreatitis, DM, old age

Question 8

Pancreatic cancer S/S

Answer 8

Painless jaundice with weight loss.
Abdominal mass, ascites
Supraclavicular node

Question 9

Tumor marker for pancreatic cancer

Answer 9

CA 19.9