Alimentary system 13 - Pancreatitis Flashcards Preview

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Flashcards in Alimentary system 13 - Pancreatitis Deck (16)
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1
Q

What is acute pancreatitis?

A

An acute inflammatory process leading to necrosis of the pancreatic parenchyma

2
Q

List the symptoms of acute pancreatitis

A
  • Severe abdominal pain
  • Nausea
  • Vomiting
  • Diarrhoea
  • Fever
  • Shock (high heart rate, low blood pressure)
  • Slow capillary refill
3
Q

What imaging may be used to assess pancreatitis?

A
  • X ray
  • Abdominal X ray
  • Ultrasound
  • CT scan
  • MRCP
4
Q

What invasive test can be used to assess pancreatitis?

A

ERCP

5
Q

List the scoring systems for pancreatitis

A
  • Ransons criteria
  • Apache II
  • SIRS
6
Q

Compare the ransons and SIRS criteria

A
  • Ransons has to be conducted with 2 assessments, one at 0 hours and one after 48 hours to look at changes
  • SIRS two or more out of high/low temp, high heart rate, high respiratory rate, high WBC count
7
Q

List the risk factors for severe pancreatitis

A
  • Necrosis vs non-necrosis
  • Organ failure
  • Age
  • Co-morbidities
  • Alcohol
8
Q

List the main causes of pancreatitis

A
  • Gallstones
  • Ethanol
  • Trauma
  • Steroids
  • Mumps
  • Autoimmune
  • Scorpion bite
  • Hyperlipidaemia/ hypercalcaemia/ hypothermia
  • ERCP
  • Drugs
9
Q

What drugs can cause pancreatitis?

A

Azathioprine/valproate

10
Q

List the systemic complications of pancreatitis

A
  • Hypovolaemia
  • Hypoxia
  • Hypocalcaemia
  • Hyperglycaemia
  • DIC
  • Multiple organ failure
11
Q

List the localised complications of pancreatitis

A
  • Pancreatic necrosis
  • Fluid collections - mature into pseduocysts
  • Splenic vein thrombosis/ pseudoaneurysm
  • Chronic pancreatitis
12
Q

List the treatments of pancreatitis

A
  • Fluids
  • Painkillers
  • Nutrition
  • Organ support
  • Management of complications
13
Q

Define chronic pancreatitis

A

A progressive fibroinflamamtory process of the pancreas that results in permanent structural damage, leading to impairment of exocrine and endocrine function

14
Q

List the consequences of chronic pancreatitis

A
  • Malabsorption
  • Loss of 90% exocrine function
  • Fat soluble vitamin malabsorption (ADEK)
15
Q

List the investigations of chronic pancreatitis

A
  • Plain x-ray
  • CT scan
  • Faecal elastase
16
Q

List the management of chronic pancreatitis

A
  • Stop alcohol and smoking
  • Small meals with low fat
  • PPI and pancreatic supplements
  • Analgesia