Pancreatitis Flashcards
1
Q
Diagnosis of pancreatitis is based of having 2 of what 3 things?
A
abdo pain
raised amylase
features on imaging
2
Q
Investigation for pancreatitis?
A
CT first
also do US to pick up gallstones
3
Q
Why may amylase actually be normal in approx 5% of patients?
A
pancreas is so dysfunctional it doesn’t make any amylase at all
4
Q
Assessment tool for severity?
A
Glasgow Imrie score
PANCREAS
5
Q
Blood tests in pancreatitis?
A
amylase, ALT, CRP
6
Q
What resp complication may occur?
A
right pleural effusion, can lead to pneumonia is infected
7
Q
Treatment??
A
fluids eg hartmans
no benefit of Abx
ERCP if gallstone,may need surgery
8
Q
Commonest late complication?
A
haemorrhage and portal hypertension
