PANCREATITIS Flashcards
most common cause?
gallstones
etiologies?
gallstones
ethanol
trauma
steroids mumps autoimmune scorpion hyperlipidemia ERCP Drugs
clinical manifestations?
persistent, severe epigastric abdominal
N/V
localized pain,rapid onset
most accurate test for pancreatitis?
CT scan
diagnosis involves?
2 or more of the following:
symptoms: acute onset of persistent, severe epigastric pain radiating to back
lab: elevation of serum lipase or amylase 3x normal
imaging
pancreatitis ddx?
peptic ulcer
cholecystitis
perforated viscus
intermittent not persistent
usually does not radiate to the back
may have history of NSAID use or H pylori
normal amylase and lipase
what is this?
peptic ulcer disease
pain location different
murphys sign
dont see levels of amylase and lipase as high as with pancreatitis
imaging with show GB wall edema
what is this?
cholecystitis
sudden onset peritoneal signs lesser elevations of amylase and lipase free air on upright chest radiograph CT findings of free fluid, free air, bowel wall pathology
perforated viscus
early complications of pancreatitis?
cardiovascular
-severe hypotension and renal failure, third spacing
resp
- cytokine infl in lungs
- microthrombi in lungs
- hyperglycemia
DIC
hypocalcemia
late complications of pancreatitis?
fluid collection, asymptomatic, pain and bloating
pancreatic pseudocyst
necrosis
cullens, grey turner signs
management?
oral intake
enteral nutrition
antibiotics, prophylaxis
mortality higher with?
necrotizing pancreatitis
chronic pancreatitis characterized?
fibrosis and inflammation
abdominal pain
N/V
exocrine insufficiency
major risk factor?
alcohol abuse 1st than idiopathic casue
