x ACUTE PANCREATITIS x = look if time

Question 1

WHAT IS THE DEFINTION OF acute pancreatitis

Answer 1

premature activation of the exocrine proteolytic enzymes in the pancrease causing inflammation =
udden onset
REVERSIBLE INFLAMMATION

Question 2

etiology of acute pancreatitis ?

Answer 2

get smashed

gallstones 
ethanol 
trauma 
steroids / sulfonamides / furosemide
mumps 
autoimmune 
sphincter of oddi dysfunction 
hypercalecmia from hyperparathyroidims 
ERCP surgery and procedures 

strict diet followed by rapid intro of fattty food

god , sat , meha

Question 3

classification of acute pancreatitis ?

Answer 3

severity = revised ATLANTA CRITERIA

1)mild acute
interstitial edema no organ failure
no local complication
sponatneous resolution in 1 week

2) moderately severe acute -
can haveor not have local complication ,
with transient organ failure up to 48 hrs

2) severe acute - pancreatitis - causing multiorgan failure persisting more than 48 hours
and local complication - peripancreatic fluid collection and necrosis

Question 4

clinical signs and symptoms

Answer 4

SUDDENONSET OF PAIN - IN THE LEFT UPPER QUADRANT , PERIUMBILICAL
CAN RADIATE TO WHOLE ABDOMEN , MID BACK AND CHEST
PATTERN = CONSTANT
wrost after eating and drinking and when supine

vomitting without sens of relief

dark brown urine - increase bile in urine

steatorrhea - clay coloured stool

jaundice

fever

syncope and fatigue

tachycardia , hypotension , tachypnea , diaphoresis

ecchymosisi of the umbilicus = cullen and grey turner sign - latge sign