pancreatitis

Question 1

define pancreatitis

Answer 1

acute or chronic inflammation of the pancreas with elevated pancreatic enzymes

Question 2

Etiology of pancreatitis

Answer 2

1 cause is gallstones where the gallstones blocks the opening to the duodenum. This block causes fluid to back up in the pancreatic duct and bile duct which leads to pain and inflammation.

• Toxins
• ETOH
  -hypertrigyceridemia
• ERCP
• Drugs

Question 3

Presentation of pancreatitis

Answer 3

• Sudden onset of constant sharp abdominal pain that radiates to the back
• nausea
• vomiting
• severe SOB

Question 4

Pancreatitis Diagnostics

Answer 4

• CBC
• LFT’s
  -Lipase (pancreatic enzyme)
• CT A&P w/ IV contrast (Initial scan)

Question 5

Management

Answer 5

Rehydration (Lactated Ringers) 5-10 ml/kg/hr
- Treat underlying cause (ex. gallstones)
- No antibiotics unless not improving after 48 hrs (Imipenem, Amoxifoxacin)

Question 6

complication of pancreatitis

Answer 6

necrotizing pancreatitis