Pancreatitis Flashcards
1
Q
Etiology (9)
A
Gallstones Alcohol Trauma Hypercalcemia HyperTriglyceridemia Drugs (thiazides, sulfa) Tumor/Anatomic Abnormalities Infection Scorpion Bite
2
Q
Ranson’s Criteria on Admission (Determines Prognosis/Severity)
(5, then 6)
A
AT ADMISSION Age >55 WBC >16 Glucose >200mg/dL LDH > 350 AST >250
3
Q
Complications (7)
A
Pseudocyst (walled off inflammatory tissue - "rhine") Pancreatic Ascites (pre-pseudocyst) Hemorrhage (splenic vein/artery) Necrosis/Infection/Abscess Respiratory Failure/ARDS/MSOF Splenic Vein Thrombosis GI tract Obstruction
4
Q
Initial Management (5)
A
IV hydration NPO NGT Analgesia Foley
5
Q
Ranson’s Criteria 48 hours after admission
A
48 HOURS AFTER ADMISSION Crit Decrease >10 BUN >5 increase Calcium <8 PO2 <60mm Hg on RA Base Excess >4 mEq/L Fluid Sequestraiton >6000 mL
