Pancreatitis Flashcards
1
Q
What is pancreatitis and how can it be classified?
A
Inflammation of the pancreas
Acute pancreatitis & Chronic pancreatitis
2
Q
What are the most common causes of pancreatitis?
A
Alcohol, gallstones & drugs
3
Q
What are the other causes of pancreatitis?
A
Idiopathic Gallstones Ethanol - alcohol Trauma Steroids Mumps Autoimmune Scorpion sting Hyperlipidaemia ERCP Drugs - furosemide, thiazide diuretics, azathioprine
4
Q
What drugs cause pancreatitis?
A
Furosemide, thiazide diuretics, azathioprine
5
Q
How does pancreatitis present?
A
Epigastric pain
Radiating to the back
Associated vomiting
Systemically unwell - low grade fever & tachycardia
6
Q
How do you assess severity of pancreatitis?
A
Glasgow criteria P – PaO2 <8kPa A – Age >55 N – Neutrophils (WBC >15) C – Calcium <2 R – uRea >16 E – Enzymes LDH >600 or AST/ALT>200 A – Albumin <32 S – Sugar (Glucose >10)
0 or 1 - mild
2 - moderate
3 or more - severe
7
Q
What is the acute management of pancreatitis?
A
ABCDE Fluids Analgesia Antibiotics if indicated, early Enteral feeding early -or TPN if enteral feeding not possible HDU/ ICU
8
Q
Further management
A
Treatment of the gallstones in gallstone pancreatitis –> ERCP/ cholecystectomy
9
Q
Complications of pancreatitis
A
Sepsis/shock ARDS Necrosis of the pancreas Pancreatic abscess Pseudocyst – develops 4 weeks later Pancreatic ascites Chronic pancreatitis
