Pancreatitis Flashcards
what neutralizes gastric acid as the meal enters the small intestine?
bicarbonate
what turns an entire meal to liquid for absorption?
digestive enzymes
what signals the body to store ingested nutrients?
insulin
what do the alpha cells secrete?
glucagon
what do the beta cells secrete?
insulin
what do the delta cells secrete?
somatostatin
what do the centroacinar cells secrete?
bicarbonate
what do the basophilic cells secrete?
digestive enzymes - lipase and amylase
what are the digestive enzymes?
pancreatic lipase
pancreatic amylase
trypsinogen
what are the two main etiologies of pancreatitis?
ethanol
gallstones
which cells secrete glucagon?
alpha cells
which cells secrete insulin?
beta
which cells secrete somatostatin?
delta
which cells secrete bicarbonate?
centroacinar
which cells secrete digestive enzymes?
basophilic cells
where does the pain radiate in pancreatitis?
back
what are the classic exam findings for pancreatitis?
pain
tachycardia
epigastric tenderness
decreased bowel sounds
what tests could be ordered for pancreatitis?
CT, US
what should always be ordered before ordering contrast CT?
creatinine kinase
what are the synthetic liver function markers?
albumin and PTIR
what are the important treatments for pancreatitis?
NPO hydration pain control antibiotics enteral nutrition
after acute pancreatitis illness has resolved, what factors should still be addressed?
ethanol
surgical consult re: cholecystectomy
rx / tx for hypertriglyceridemia
the majority of clinical resolution for pancreatitis occurs in how many days?
3-7
what is one of the main consequences of severe pancreatitis?
diabetes
