Pancreatitis: Acute and Chronic

Question 1

What is the diagnostic test of choice for acute pancreatitis?

Answer 1

Abdominal CT

Question 2

A patient has come to the clinic with an epigastric pain that is constant, boring and radiates to the back. He says his pain is relieved with leaning forward or sitting in the fetal position. An abdominal x-ray reveals a sentinel loop. What is the likely diagnosis?

Answer 2

Acute Pancreatitis

Question 3

If a patient’s ALT is increased 3 fold, what is this indicative of?

Answer 3

Gallstone pancreatitis

Question 4

What is the best diagnostic study for Chronic pancreatitis?

Answer 4

AXR: Calcified pancreas

-Amylase/ Lipase are usually not elevated

Question 5

There is a triad associated with Chronic pancreatitis, what is it?

Answer 5

1. Calcifications
2. Steatorrhea
3. Diabetes Mellitus*** Hallmark

Question 6

What is the MCC of chronic pancreatitis in children?

Answer 6

Cystic fibrosis