Pancreatitis

Question 1

what is acute pancreatitis

Answer 1

acute inflammatory process of pancreas with variable involvement of other regional tissues

Question 2

what is the clinical diagnosis of acute pancreatitis

Answer 2

upper ab pain
vomitting
epigastric or diffuse abdominal tenderness

Question 3

biochemical diagnosis of acute pancreatitis

Answer 3

elevated pancreatic enzymes, amylase and lipase

elevated wbc, liver enzymes, bilirubin, hyperglycaemia, hypocalcaemia

Question 4

causes of acute pancreatitis

Answer 4

alcoholism

cholelithiasis= gallstones

Question 5

what is ercp

Answer 5

endoscopic retrograde cholangio-pancreatography

Question 6

causes of chronic pancreatitis

Answer 6

alcoholism
microlithisasis = crystal calcifications
idiopathic 
rare : 
hereditary, hyperparathyroidism, obstruction of main pancreatc duct

Question 7

clinical diagnosis of chronic pancreatitis

Answer 7

lab tests are normal
structural abnormalities of x ray/CT
ercp can show abnormalities
most sensitive test is secretin test

Question 8

treatment of pancreatitis

Answer 8

IV fluids

dietary restriction: fat, protein