Pancreatitis

Question 1

What are the causes of pancreatitis?

Answer 1

GETSMASHED

Gall stones

Ethanol

Trauma

Steroids

Mumps

Autoimmune

Scorpion venom

Hypercalcaemia, hyperlipidaemia, hypothermia

ERCP

Drugs

Question 2

What are the symptoms?

Answer 2

Severe central pain and vomiting

Question 3

What would you see on examination?

Answer 3

Signs of infection

Grey turners and cullen

Question 4

What tests confirm it?

Answer 4

Raised amylase

CT scan

ABG - ?acidosis

Question 5

What are the investigations?

Answer 5

Full bloods and amylase/crp

CT to assess severity

ERCP

US

ABG

Xray to rule out perforation

Question 6

What is the management of pancreatitis?

Answer 6

identify and treat cause

Fluids

NBM

Analgesia

Question 7

What is the prognosis of pancreatitis?

Answer 7

Highly variable

Oedema from inflammation can cause hypovolaemia and necrotizing tissue. This causes enzyme leak and DIC

Question 8

What are the complications of pancreatitis?

Answer 8

Early - Shock, ARDS, DIC and renal failure from hypovolaemia

Late - Necrosis, bleeding, fistulas

Question 9

What is the scale used to assess pancreatitis?

What is severe?

Answer 9

Modified Glasgow scale - over 3 is serious

PANCREAS

P 02

A ge

N eutophils

C alcium

R enal function

E nzymes (LDH)

A lbumin

S ugar (glucose)

Question 10

What are the three Multiple Endocrine Neoplasias

Answer 10