Pancreatitis Flashcards

1
Q

Aetiology of pancreatitis

A
  • alcohol
  • gallstones
  • idiopathic
  • msicellaneous
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2
Q

Miscellaneous causes of pancreatitis

A
  • obstructive
  • metabolic
  • drugs
  • trauma
  • viral infections
  • pregnancy
  • collagen disease
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3
Q

4 types of collections in acute pancreatitis

A
  • acute peripancreatic fluid collection
  • pancreatic pseudocyst
  • acute necrotic collection
  • walled off necrosis
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4
Q

Other organ complications of pancreatitis

A
  • gastric outlet dysfunction
  • splenic/portal vein thrombosis
  • intestinal necrosis
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5
Q

How to diagnose pancreatitis

A

2 or more of the following

  • abdo pain
  • serum lipase or amylase >3x normal
  • characteristic findings on CT/MRI
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6
Q

Definition of organ failure

A
  • a score of 2 or more for 1 of the organ systems using the modified Marshall scoring system
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7
Q

3 degrees of of severity of acute pancreatitis

A
  • mild acute pancreatitis (MAP)
  • moderately severe acute pancreatitis (MSAP)
  • severe acute pancreatitis (SAP)
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8
Q

Parameters indicating the development of severe acute pancreatitis

A
  • haemodynamic instability
  • hyposic confusion
  • pleural effusion and pulmonary infiltrates on CXR
  • SIRS response
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9
Q

Aetiology of chronic pancreatitis

A
  • alcohol
  • nutritional
  • cystic fibrosis
  • hereditary
  • idiopathic
  • autoimmune
  • obstructive
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10
Q

Complications of chronic pancreatitis

A
  • diabetes mellitus
  • fat malabsorption
  • pseudocysts
  • pancreatic ascites
  • false aneurysm
  • splenic vein thrombosis
  • biliary or duodenal stenosis
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