Pancreatitis

Question 1

Causes of Pancreatitis?

Answer 1

Gallstones
Alcohol
ERCP

Other Causes
IGETSMASHED
- Idiopathic
- Gallstones
- ethanol
- Trauma
- Steroids
- Mumps
- Autoimmune
- Scorpion Sting
- Hyperlipidemia
- eRCP
- Drugs: Furosemide, Thiazide Diuretic, Azathioprine

Question 2

Present Acute Pancreatitis?

Answer 2

Severe Epigastric Pain
Radiates to Back
Vomit and Tender
Systematically unwell

Question 3

Diagnosis Acute Pancreatitis

Answer 3

Amylase: Raised
Lipase: raised (more sensitive and specific)
CRP
Ultrasound: Gallstones
CT Abdo
Glasgow Score

Question 4

What is the Glasgow Score

Answer 4

Severity of Pancreatitis
0-1 Mild
2 Mod
3 + Severe

PANCREAS
- Pa02 <8kpa
- Age >55
- Neutrophils >15
- Calcium <2
- Urea >16
- Enzymes (LDH >600 or AST/ALT >200)
- Albumin <32
- Sugar (Glucose >10)

Question 5

Treating Acute Pancreatitis

Answer 5

ABCDE
IV Fluids
Treat Gallstones (ERCP/Cholcystectomy)
Antibiotics if needed

Question 6

Most common cause of Chronic Pancreatitis

Answer 6

Alcohol

Question 7

Key complications of Chronic Pancreatitis?

Answer 7

Chronic Epigastric Pain
Loss of Exocrine Function
Loss of endocrine function = diabetes
formation of pseudocysts or abscesses

Question 8

Treating Chronic Pancreatitis

Answer 8

Alcohol abstinence

Analgesia

Creon

ERCP with Stent

Surgery