Pancreatitis Flashcards
1
Q
What are GET SMASHED causes of Pancreatitis?
A
Gallstones (60%) Ethanol Trauma Steroids Mumps Autoimmune (PAN) Scorpions Hyperlipidaemia ERCP Drugs- Azathioprine, Diuretics, Steroids, NSAIDs
2
Q
What are clinical features of pancreatitis
A
Epigastric pain radiating to back Anorexia NAusea and vomit Septic shock Guarding
3
Q
How is pancreatitis diagnosed?
A
Pain Raised serum amylase (>1000) CT- loss of fat planes, oedema, fluid AXR USS for gallstones Serum lipase
4
Q
What is the score used to define when to treat Pancreatitis in ITU and what is in it?
A
Glasgow Imrie score >3 is ITU P- PaO2 <8kPa A- Age >55 N- Neutrophils raised C- Calcium low R- Raised urea E- Elevated enzymes (LDH and AST) A- Albumin <32 S- Sugar >15mmol.L
5
Q
What is the Ranson score used for in pancreatitis?
A
> 3 severe pancreatitis likely
6
Q
What is Balthazar score?
A
Grading pancreatitis on CT
Grade A-E
7
Q
How is pancreatitis managed?
A
ANALGESIA CATHETER CEF/METRONIDAZOLE Drain and culture if indicated Bowel rest NG feeding Antiemetics TPN administration Fluid resus
