Pancreatitis

Question 1

Typical symptoms of Pancreatitis

Answer 1

Severe Epigastric pain that radiates to the back, relieved when leaning forward and made worse in supine position

Question 2

Causes of Pancreatitis

Answer 2

I - Idiopathic
G - Gall Stones (38%)
E- Ethanol (35%)
T - Trauma (1.5%)
S - Steriods
M - Mumps
A - Autoimmune
S- Scorpian Bites
H- Hyperlipideamia, Hypothermia and Hypercalceamia
E - ERCP and Emboli (5%)
D - Drugs

Question 3

Acute Complications of Pancreatitis

Answer 3

• Shock
• ARDS
• Renal failure
• DIC
  ○ Dissemminated intravascular coaggulaiton
• Sepsis
• Hypocalcaemia
• Hyperglyceamia

Question 4

Chronic Complications of Pancreatitis

Answer 4

• Necrosis
• Psuedocyst
• Abscess
• Bleeding
• Thrombi
• Fistulae
• Reoccurance

Question 5

Investigations with Pancreatitis

Answer 5

FBE, Liapse and Amylase, CXR, AXR, CT, MRI, ERCP/MRCP, BGL,

Question 6

Cellular mechanisms of Complications (5)

Answer 6

The morphology of acute pancreatitis ranges from trivial inflammation and edema to severe extensive necrosis and hemorrhage. The basic alterations are (1) microvascular leak and edema, (2) fat necrosis, (3) acute inflammation, (4) destruction of pancreatic parenchyma, and (5) destruction of blood vessels and interstitial hemorrhage.