Pancreatitis Flashcards
What is the sphincter of Oddi?
What are the two chemicals that the pancreas secretes?
Bicarb
NaCl
Why are pancreatitis patients NPO?
Do not want to secrete enzymes
What are the cells of the pancreas that secrete glucagon?
Alpha cells
What are the cells of the pancreas that secrete insulin?
Beta cells
What do the delta cells of the pancreas secrete?
Somatostatin
What do acinar cells of the pancreas secrete?
Trypsinogen
What cells of the pancrease secrete the digestive enzymes?
Basophilic cells
What are the cells of the pancreas secrete bicarb?
Centroacinar cells
What are the top two etiologies of pancreatitis?
EtOH (#1 cause in US)
Gallstones (#1 in world)
What is choledocholithiasis?
gallstones in the pancreatic duct work
What type of diuretic is linked to pancreatitis?
thiazide diuretics
What are the two metabolic conditions that can cause pancreatitis?
Hyperlipidemia
Hypercalcemia
Hypercalcemia causes what change in the pancreas that can be visualized on CT?
Saponification
What is the parasite that can cause pancreatitis?
Ascaris lumbricoides
What are the ssx of pancreatitis?
Acute onset abdo pain with radiation to the back
n/v
What is cullen’s sign?
Periumbilical hematoma secondary to pancreatitis
What is gray turner’s sign?
Nephro-inflammatory process seen in pancreatitis
What is the major problem with US?
Cannot see through adipose tissue well
What are the labs you should order with suspected pancreatitis?
CBC
BMP
Lipase
LFTs
Are abx indicated for pancreatitis?
Usually no
How should you hydrate pancreatitis patients?
IVF boluses (5-6 L)
What are the synthetic liver functions for labs?
Albumin
INR
Total protein
What is the function of CRP?
Opsonizer
What is really, really indicated for pancreatitis?
IVF
How long does pancreatitis usually resolve with NPO?
3-7 days
How long does it take for the exocrine functions of the pancreas to normalize following an episode of acute pancreatitis?
months
What are the three potential endocrine problems with acute pancreatitis?
Hypocalcemia
Hyperglycemia
Hypertriglyceridemia
What are the surgical indications for acute pancreatitis?
Necrosis
Pseudocyst formation
What disease can form from acute pancreatitis?
DM
What type of diet is recommended for chronic pancreatitis?
Low fat diet
Where does pain radiate with pancreatitis?
Back
Is there a change in BMs with pancreatitis?
Nah
What is the PE that should be performed with GI issues?
Rectal exam
AST:ALT in a 2:1 ratio is suggestive of what?
EtOH caused liver disease
