Pancreatitis Flashcards
3 symptoms
sudden onset mid epigastric or LUQ pain
radiates to the back
nausea and vomiting
2 ways to diagnose
serum amylase
serum lipase
2 most common causes
gallstones
excess alcohol
3 steps of initial tx
fluid resus, analgesia, nutritional support
Glasgow severity scale
PaO2 Age Neutrophils Calcium Renal function Enzymes Albumin Sugar
what is rovsing’s sign and what disease does it suggest
RLQ pain elevated by LLQ pressure. indicates appendicitis
what is murphy’s sign and what does it indicate?
pain on inspiration while palpating R subcostal region. suggestive of gallstones
differences between exudate and transudate
exudate: any fluid that filters from the circulatory system
transudate: extravascular fluid, lower protein conc.
5 ddx
gastritis AAA MI trauma to spleen gastroenteritis
5 imaging modalities used
AXR erect CXR CTAP with contrast Abdo US MRCP
Causes
Gallstones Ethanol Trauma Steroids Mumps Autoimmune Scorpion sting Hyperlipidaemia and hyperCa ERCP Drugs