Pancreatitis & Cholecystitis Flashcards
What is the most common cause of Pancreatitis?
Alcoholism
What causes Autodigestion
Because of the presence of bile
Leakage of blood in the umbilicus
Cullen’s sign
Grey Turner’s sign
Cullen’s sign
Leakage of blood in the flank
Cullen’s sign or grey turner sign
Grey Turner’s sign
Fatty stool
Steatorrhea
Stool for Pancreatitis and Peptic Ulcer
Steatorrhea or fatty stool
- calcium is excreted = ⬇️calcemia
What side of pain in the abdomen does a pancreatic pt has?
LUQ pain
LUQ pain in Panreatitis is aggravated by what?
Coffee
Supine
Fatty foods
Diet for Pancreatitis
Low Fat Diet
What produce the bile?
Liver
Pancreas
Gallbladder
Liver
What stores the bile?
Liver
Pancreas
Gallbladder
Gallbladder
What are the 2 functions of bile?
Emulsify the fats
It gives color to stool and urine
What causes the activation of pancreatic enzymes?
Due to the presence of bile
In Pancreatitis: what are the 3 aggravator that causes abdominal pain (LUQ pain)
C - Coffee
S - Supine
F - Fatty foods
Specific test for Pancreatitis
⬆️ Serum Amylase
Cholecystitis:
In African - American; where to check for the presence of Jaundice
Palate
Diagnostic tests for cholecystitis
-Gallbladder Series
(Oral Cholecystogram)
-Abd UTZ
Confirms presence of Gallstone
What is the 4 Purpose of T - tube in cholecystectomy
- To drain the Bile
- To maintain Patency of Common Bile Duct
- Prevent leakage of Bile in Peritoneal Space
- To allow Healing of Common Bile Duct
What is the meds of Cholecystitis if the stone is still small or elderly pt
UDCA ( Ursodeoxycholic Acid )
Rowachol
What is the DOC for pancreatitis?
Morphine Sulfate
Discontinued Demerol: can cause seizure
What is the DOC for Cholecystitis?
Demerol
Diet for Pancreas and Gallbladder
⬇️ fat
