Pancreatitis: Risk Factors and Causes

Question 1

Risk Factors

Answer 1

1. Alcohol abuse
2. Medications
   * Anti hypertensives, diuretics, antimicrobials.
   * immunosuppressive drugs, oral contraceptives
3. GI disorders

Question 2

Assessment:
Acute Pancreatitis

Answer 2

1. Severe, continuous begins in mid epigastrium then LUQ radiating to the back
2. Pain aggravated by eating after 1-2hrs
3. Pain not relieved by vomiting and antacid
4. Hypotension
5. Flexion of the spine
6. Abd guarding behavior
7. Low grade fever
8. Leukocytosis
9. Respiratory distress

Question 3

Assessment:
Chronic Pancreatitis

Answer 3

1. Heavy, gnawing, occasional burning or crampy LUQ abd pain
2. Malabsorption and weight loss
3. Impaired protein and fat digestion
4. Mild jaundice with dark urine
5. Steatorrhea
6. D.M.

Question 4

Bluish flank discoloration

Answer 4

Grey Turner’s Sign

Question 5

Bluish periumbilical discoloration

Answer 5

Cullen Sign

Question 6

Causes

Answer 6

Bacterial or viral infections
Spasm and edema of Ampulla of Vater
Blunt abd trauma
PUD, Ischemic vascular disease
Hyperlipidemia
Hypercalcemia

linked with autodigestion