Pancreatitis

Question 1

What are the common examination findings?

Answer 1

Obs - Signs of infection

Central severe abdominal pain

Question 2

What are the investigations?

Answer 2

To finish the exam i would like - to do a PR, check the groin for hernia and do urinalysis

By the bed - History and obs

Bloods - FBC, U/E, LFTs and albumin, Calcium/glucose/clotting (Child pugh), amylase, cultures.group and save

Others - ABG, AXR, Erect CXR, MRCP

Question 3

What are the key investigation findings?

Answer 3

Raised Amylase or anything suggesting pancreatitis from child pugh

Question 4

What is the treatment?

Answer 4

Conservative - Explain wha tis happening to the patient and work out Child Pugh

Medical - Aggressie fluid management

Analgesia

Antibiotics if thats the cause

Surgical - Depends of cause, eg gall stones

Question 5

What are the risk factors?

Answer 5

• GETSMASHED

Gall stones

Ethanol

Trauma

Scorpion venom

Autoimmune

Hyperlipid/calcaemia

ERCP

Drugs