Pancreatic disorders Flashcards
1
Q
Acute pancreatitis- Eti
A
- Heavy alcohol intake
- Gallstone
2
Q
Acute pancreatitis- Sx
A
- Deep epigastric pain, radiates to back
- Better with sitting, leaning forward
- Absent bowel sounds
- Tachy, hypoTN, pallor
- N/V/F
- Sweating & weakness
- Abd tenderness & distension
- Hx of previous episode
3
Q
Acute pancreatitis- Dx
A
- Elevated serum amylase & lipase
4
Q
Acute pancreatitis- Tx
A
- NPO until pain free
- Clear liquids
- Fluids
- Parenteral nutrition
- Meperidine
5
Q
Chronic pancreatitis- Eti
A
- Alcoholism
- Increased with duration and amount of consumption
- Tobacco
- Stricture, stone or tumor obstruction
6
Q
Chronic pancreatitis- Sx
A
- Persistent or recurrent epigastric & LUQ pain
- Refers to upper left lumbar
- Anorexia, nausea, vomiting, constipation
- Steatorrhea
7
Q
Chronic pancreatitis- Dx
A
- ERCP- most sensitive- rosemont criteria
- Serum amylase & lipase
8
Q
Chronic pancreatitis- Tx
A
- Correct obstruction
- Tx pain- avoid opioids
- Low fat diet & alcohol restriction
9
Q
Pancreatic carcinoma- Eti
A
- Most common pancreatic neoplasm
- 75% in head, 25% in body/tail
- 2% of all cancers, 5% of deaths
- Risk: Age, obesity, alcohol, tobacco, fam hx
10
Q
Pancreatic carcinoma- Sx
A
- Vague & diffuse LUQ/ epigastric pain
- Diarrhea
- Wt loss
- Jaundice
- Palpable gallbalder
11
Q
Pancreatic carcinoma- Dx
A
- Endoscopic US
- Endoscopic retrograde cholangiopancreatography
12
Q
Pancreatic carcinoma- Tx
A
- Resection preferable
- Irradiation & chemo
13
Q
Pancreatic pseudocyst- Eti
A
- Pancreatic abscess due to acute pancreatitis
- Necrotic or fluid filled
14
Q
Pancreatic pseudocyst- Sx
A
- High amylase content
- Secondary infection-
15
Q
Pancreatic pseudocyst- Tx
A
Endoscopic catheter drainage
