Pancreatic pathology Flashcards
1
Q
What is the modified Glasgow score?
A
A score that is used 48 hours post presentation to assess the severity of pancreatitis
2
Q
What is included in the modified Glasgow score?
A
PaO2 < 8kPa (60mmHg) Age > 55 years Neutrophils - WBC >15 x109/l Calcium < 2mmol/l Renal function - Urea > 16mmol/l Enzymes - AST/ALT > 200 iu/L or LDH > 600 iu/L Albumin < 32g/l Sugar - Glucose >10mmol/L
A score >3 indicates severe pancreatitis and patients should be managed in HDU/ICU.
3
Q
What is the management for acute pancreatitis?
A
Aggressive IV fluid resuscitation with 1L bolus
Catheterisation
Analgesia - strong opioid medication
Anti-emetics
Calcium can sometimes be given if the patient is hypocalcaemic
4
Q
What bloods should be carried out in a patient with query acute pancreatitis?
A
U+E LFT - albumin low in severe cases. Amylase Lactate Bone profile/calcium
