Pancreatitis Flashcards
What scoring system predicts pancreatitis?
Ranson
If clinical setting points to pancreatitis what image should be used?
None
What clinical data can be used to assess pancreatitis severity?
SIRS at admit that persists 48hrs
Pancreatitis TXT
Symptomatic and supportive Aggressive Resus fluids Pain/nausea - (IV) opioids/antimetics NPO ABX only is readily ID source
If clinical setting is still in doubt what can be performed next? Gallstone consideration
CT w/ Contrast
pancreatitis w/ respiratory complaints perform what?
CXR
How many diagnostic criteria is req? List?
2/3
- Clinical setting
- Amylase/lipase elevation (2x-3x)
- Imaging findings - CT/MRI/US
Other uncommon causes of pancreatitis?
ERCP
Rx
HyperTriGly
pancreatitis RFs
Middle aged black that smokes and is Obese w/DM
Cullen sign is?
Bluish
Umbilical
Hemoperitoneum
pancreatitis is worse when?
PO intake or laying supine
pancreatitis resus fluid protocol?
2.5-4L IVF w/ 1/3 w/in 12-24hrs
pancreatitis is better whem?
Sitting up knees bent
Prolonged bowel reast causes?
Gut atrophy > bacteria translocation>INF
Erythematous skin nodules w/ pancreatitis is due to?
focal Sub-Q fat necrosis
MC cause of chronic pancreatitis?
ETOH induced (attacks like acute but subtle)
pancreatitis PE?
guarding w/ decreased bowel sounds. Occ. Jaundiced, pale, sweat
What are common systems for organ failure ass/w pancreatitis?
Cardiopulm
Renal
Dispo pancreatitis D/C?
Nonbiliary pancreatitis controlled w/ pain and (PO) tol w/ F/U
male w/ pancreatitis due to?
ETOH
Admitting w/ biliary pancreatitis req?
Surg consult and early cholecystectomy
Severe pancreatitis is indicated by?
> 1 local/sys comps and persistent organ failure >48hrs
Grey-turn sign is
Reddish brown
Flanks
Retroperitoneal blood or pancreatic exudate
Admit pancreatitis Dispo?
1st ever acute pancreatitis any biliary associated pancreatitis req freq (IV) pain Rx Not tolerating (PO) due to pain/vomit Persistent ABNL vitals Organ failure S/S