81. Pancreas

Question 1

Most common causes of pancreatitis in order

Answer 1

o	Gall stones – more women
o	EtOH – more men
o	ERCP
o	Drugs
o	Trauma
o	Less common
	Triglycerides
	Hypercalcemia
	Tumors
See notes for full rosen list

Question 2

2 main types of pancreaitis

Answer 2

1. edematous

2. Nectotizing

Question 3

Systemic complications of pancreatitis

Answer 3

o ARDS
o Pleural effusions
o CV collapse
 Fluid shifts and volume losses

Question 4

When is CT needed for pancreatitis

Answer 4

o Dx uncertain
o RO other possible patho
o Assess for complications if not improved in 48 hours

Question 5

3 scoring criteria for pancreaitis

Answer 5

• Atlanta
• Ranson
• BISAP

Question 6

What is BISAP score

Answer 6

o	BUN
o	Impaired mental status
o	SIRS
o	Age
o	Pleural effusions

Question 7

MGMT of pancreatitis

Answer 7

• Mostly supportive
• Volume replacement
  o Within 24 hours
  o LR appears to have better outcomes
• Correct lytes
  o Hypo Ca frequent
• Pain control
• CAN feed
• No evidence for Abx
• Early ERCP if stone or cholangitis