Pancreatitis Flashcards
What is acute pancreatitis?
Acute inflam process that leads to the necrosis of the pancreatis parancha
What are signs and symptoms of acute pancreatitis?
Severe abdominal pain Nausea Vomiying Diarrhoa Fear Shock
What are the diagnostic approaches of pancreatitis?
History
Examination
Tests
What tests are used for pancreatitis tests?
Blood tests
Imaging and complex imaging - chest/abdominal xray, ultrasound, CT, MCRP
Invasive tests - ERCP
What are risk factors for severity of pancreatitis?
Organ failure
Age
Co morbidities
Alcohol
What can cause pancreatitis?
Gallstones
Ethanol
Trauma
Steroids Mumps Autoimmune Scorpion bite Hyperlipidaemia/hypercalcaemia/hypothermia ERCP Drugs eg acathioprine, valproate
What are systemic complications of pancreatitis?
Hypovolaemia Hypoxia Hypocalcaemia Hyperglycaemia DIC Multiple organ failure
What are localised complications of pancreatitis?
Pancreatic necrosis
Fluid collections - mature into pseduocysts
Splenic vein thrombosis/pseudoaneurysm
Chronic pancreatitis
What is chronic pancreatitis?
Progressive fibroinflammatory process of the pancreas that results in permanent structural damage, which leads to impairment of exocrine and endocrine function
What happens to the body in chronic pancreatitis
Malabsorption
Loss of 90% exocrine function
Fat soluble vitamin malabsorption A D E K
Sterrohoea
What is used for investigations for chronic pancreatisis
Plain xray
CT scan
Faecal elastase
What management can you do with chronic pancreatitis?
Stop alcohol and smoking
Small meals with low fat
PPI and pancreatic supplements
Analgaesia
