Pancreatitis Flashcards
1
Q
Causes (acute)
A
IGETSMASHED I - idiopathic G - gallstones E - ethanol T - trauma S - steroids M - mumps A - autoimmune S - scorpion bites H - hypercalcaemia, hyperlipidaemia E - ERCP D - drugs
2
Q
Causes (chronic)
A
Relapsing disorder following bouts of acute pancreatitis
- GET SMASHED
3
Q
Clinical presentation
A
Epigastric/umbilical pain Pain radiates to the back Sitting forward may relieve the pain Nausea, Vomiting Bloating Steatorrhoea Weight loss, loss of appetite Indigestion Jaundice
4
Q
Diagnostic investigation
A
Serum amylase (increased)
5
Q
Investigations
A
Serum amylase Bloods US CXR CT pancreas
6
Q
Physical examination findings
A
Jaundice
Grey turners sign - R and L flank
Cullen’s sign - around umbilicus
7
Q
Staging of acute pancreatitis
A
Glasgow prognostic score “PANCREAS”
8
Q
Management of acute pancreatitis
A
IV fluids, oxygen, pain relief
Antibiotics - if infection present
Nutrition - Oral, enteral
Gallstones present - ERCP, cholecysectomy
9
Q
Management of chronic pancreatitis
A
Simple analgesia - paracetamol, NSAID
Obstruction - ERCP
Surgery - Pustow procedure, frey procedure
