Chapter 54: Pancreas- Hemorrhagic Pancreatitis Flashcards
1
Q
What is it?
A
Bleeding into the parenchyma and retroperitoneal structures with extensive pancreatic necrosis
2
Q
What are the signs?
A
- Abdominal pain
- shock/ARDS
- Cullen’s sign
- Grey Turner’s sign
- Fox’s sign
3
Q
Cullen’s sign
A
Bluish discoloration of the periumbilical area from retroperitoneal
hemorrhage tracking around to the anterior abdominal wall through fascial
planes
4
Q
Grey Turner’s sign
A
Ecchymosis or discoloration of the flank in patients with retroperitoneal hemorrhage from dissecting blood from the retroperitoneum
(Think: Grey TURNer = TURN side to side = flank [side] hematoma)
5
Q
Fox’s sign
A
Ecchymosis of the inguinal ligament from blood tracking from the
retroperitoneum and collecting at the inguinal ligament
6
Q
What are the significant lab values?
A
- Increased amylase/lipase
- Decreased Hct
- Decreased calcium levels
7
Q
What radiologic test should be performed?
A
CT scan with IV contrast
