Pancreatitis

Question 1

Answer 1

Gray-Turner sign

classic for pancreatitis

not common

Question 2

Answer 2

sentinal loop

dilated loop of small bowel w/ air next to pancreas

classic sign for pancreatitis

not commonly seen

Question 3

Labs in acute pancreatitis

amylase and lipase

leukocytes

glucose

hydration status

LDH and AST

Ca2+

albumin

O2

CRP

Answer 3

elevated amylase and lipase (lipase > amylase)

leukocytosis w/ bands

hyperglycemia

dehydration

elevated LDH and AST

hypocalcemia

hypoalbuminemia

hypoxemia

elevated CRP

Question 4

Preferred serum test for pancreatitis

Answer 4

lipase > amylase

lipase is more sensitive and specific for pancreatitis

Question 5

Etiologies of pancreatitis

Answer 5

EtOH

hypertriglyceridemia

cholelithiasis

hypercalcemia (PTH, etc)

Question 6

Tx of pancreatitis

Answer 6

enzyme Tx for malabsorption

decreased fat intake

medium-chain triglycerides (easier to digest)

Question 7

Complications of pancreatitis

Answer 7

ascities

pancreatic pseudocyst

DM, malabsorption, esp fat and fat-soluble vitamins