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Clinical Alimentary System > Chronic Pancreatitis > Flashcards

Chronic Pancreatitis Flashcards

1
Q

What is chronic pancreatitis

A

Continuing inflammatory disease of the pancreas characterised by irreversible glandular destruction due to chronic inflammation

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2
Q

What is the main cause of chronic pancreatitis

A

Alcohol abuse

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3
Q

What are the causes of chronic pancreatitis

A

Alcohol abuse
Cystic fibrosis
Malnourishment
Pancreatic duct obstruction

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4
Q

What happens to the pancreas in chronic pancreatitis

A

The pancreatic ducts are dilated and filled with protein plugs which can be calcified
Acinar tissue is destroyed

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5
Q

What happens to nutrient absorption in chronic pancreatitis

A

Fat Malabsorption as lipases are not present

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6
Q

What are the signs and symptoms of chronic pancreatitis

A 
Pain in the epigastric region that radiates to back and improves when sitting forward
Weight loss
Stearorrhea 
Jaundice 
Secondary diabetes
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7
Q

What investigations should be carried out for the diagnosis of chronic pancreatitis

A

CT scan

MRCP

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8
Q

What is MRCP

A

Magnetic resonance cholangiopancreatography

MRCP produces detailed images of your liver, gallbladder, bile ducts, pancreas and pancreatic duct

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9
Q

What investigation should be performed first in suspected chronic pancreatitis and why

A

CT scan

To inspect for any calcification

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10
Q

If you do a CT which shows calcification then what is the likely diagnosis

A

Chronic pancreatitis

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11
Q

If you do a CT which shows no calcification then what needs to happen

A

An MRCP

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12
Q

What is the treatment for chronic pancreatitis

A 
Alcohol cessation 
Analgesia
Insulin (if needed) 
Enzyme replacement therapy 
Removal of gall stones (SURGERY)
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13
Q

Why might insulin be given to someone with chronic pancreatitis

A

The damaged pancreas may no longer be producing insulin. The insulin would help the patient reduce their Hyperglycemia.

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14
Q

What are the complications of Chronic Pancreatitis (x5)

A 
Pseudocysts 
Duct Obstruction 
Diabetes Mellitus (from decrease in endocrine functions)
Steatorrhoea 
Nutrient Malabsorption (from decrease in exocrine function)
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15
Q

What is a good pneumonic to remember the causes of chronic pancreatitis

A 
OA TIGER
Obstruction 
Autoimmune
Toxin
Ideopathic 
Genetic 
Enviromental
Recurring injury
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16
Q

What is a dermatological condition that can occur due to the pain from chronic pancreatitis

A

Erythema Ab-Igne

17
Q

What causes Erythema Ab-Igne

A

Hot water bottle on skin for relief of chronic pancreatitis pain

Clinical Alimentary System (64 decks)

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