Pancreatitis/esophageal disorders/ ultrasound

Question 1

Causes of pancreatitis?

Answer 1

etoh (70%)
cholelithiasis
meds
increase Ca+2 (hyperthyroid)

Question 2

3 ways Etoh causes chronic pancreatitis?

Answer 2

1. increased protein in juice, decreased bicard (trypsin inbit) –> protein plugs
2. increased permeability of ductules let in enzymes
3. increased intracellular accumulation –>premature release/activation enzymes

Question 3

Contrast acute and chronic pancreatitis symptoms and signs

Answer 3

Actue- severe pain, chronic - dull
acute - n/v, increased amylase/lipase
chronic - hyperglycemia, normal amyase/lipase

Question 4

What are some complications of chronic pancreatitis

Answer 4

ascites
pseudocyst
vit. def
diabetes
malabsorption

Question 5

The ranson criteria is used to predict what?

Answer 5

Survival in pancreatitis, test at admit and at 48 hr

Question 6

When should a child be given oral rehydration?

Answer 6

When they are dehdrated, not because of diarrhea. Use pedialyte not gatorade or broth

Question 7

How to calculate IV dehdration therapy in kids?

Answer 7

20 ml/kg body weight in one hour

Question 8

How long does it take to treat constipation lasting 2 months?

Answer 8

Twice as long, so 4 months

Question 9

Social issues and stress can cause recurrent abdominal pain in which age groups?

Answer 9

5-7 olds

8-12 girls

Question 10

A child has cyclic vomiting in the night and early morning. As a teen you would expect this to manifest as what disorder?

Answer 10

Migraine headaches

Question 11

What are the most common causes of gastroenteritis in kids?

Answer 11

bacterial - camplyobacter, salmonella

viral - roto, calci, noro

Question 12

Order in which a fast exam is done

Answer 12

RUQ, subxiphoid, LUQ, suprapubic

Question 13

Why does blood often pool in the RUQ in abdominal trauma and not in the pelvis?

Answer 13

Often patients are brought in supine so blood remains in upper abdomen.