Pancreatic causes of abdominal pain Flashcards
What are the symptoms of Biliary colic?
Postprandial RUQ pain with radiation to the shoulder
Nausea
What are the symptoms of Acute Cholecystitis?
Acute, severe RUQ pain
Fever
Murphy’s sign
What are the symptoms of Acute Cholangitis?
Charcot’s triad;
jaundice
RUQ Pain
fever
What are the symptoms of Acute Appendicitis?
Severe epigastric pain radiating to the back
Nausea +/- vomiting
History of gallstones/ EtOH use
What are the investigative results for Biliary colic?
Normal blood results
USS; cholelithiasis
What are the investigative results for Acute Cholangitis?
Elevated WCC/CRP
USS; thickened gall bladder wall
What are the investigative results for Acute Cholangitis?
Elevated LFT’s, WCC, CRP, Blood MCS +ve
USS; biliary dilation
What are the investigative results for Acute Pancreatitis?
Raised Amylase/lipase
High WCC, Low Ca2+
CT & US o assess for complications/causes
What is the management for Biliary colic?
Analgesia, Antiemetics, Spasmolytics
Follow up for elective cholecystectomy
What is the management for Acute Cholecystitis?
Fluids, ABx, Analgesia, Blood cultures,
Early <72 hrs or elective 4-6 weeks cholecystectomy
What is the management for Acute cholangitis?
Fluids, IV, Abx, Analgesia,
ERCP for clearance of bile duct or stenting ( 72 hrs)
What is the management for Acute Pancreatitis?
Admission score Glasgow-Imrie
Agressive fluid resuscitation, O2
Analgesia, Antiemetics
ITU/HDU involvement
