Pancreatitis

Question 1

What is the mnemonic for pancreatitis causes?

Answer 1

I GET SMASHED

Question 2

What does I GET SMASHED stand for?

Answer 2

Idiopathic
Gallstones (most common in England)
Ethanol (most common in Scotland)
Trauma
Steroids
Mumps / viral
Auto Immune
Scorpion
Hyperlipidaemia
ERCP
Drugs

Question 3

Symptoms and signs of pancreatitis

Answer 3

Central abdominal pain that goes to back
Fever
Oliguria
Jaundice
SOB
Cullen’s
Grey Turners
Nausea and vomiting
Low blood pressure
High heart rate
High respiration rate
Low saturation
ARDS

Question 4

Complications of pancreatitis

Answer 4

When pancreas gets v inflamed
Necrosis of pancreas
Pseudoaneurysm
Haemorrhage
Portal thrombosis
Pseudocyst
ARDS
MOF

Question 5

Severity scoring system for pancreatitis

Answer 5

Glasgow score (not good)
Ranson’s score (not good)
Atlanta (useful for research)
NEWS (surprisingly good_

Question 6

Treatment for pancreatitis

Answer 6

Supportive:
Fluids, nutrition, antibiotics, critical care

ERCP

Cyst drainage

Pancreatic failure:
exocrine - give creon?

Question 7

Chronic pancreatitis

Answer 7

Often have flares of pancreatitis
Malnutrition
Pancreatic duct strictures
May need drainage
Likely to develop pancreatic failure