Chronic Hepatitis

Question 1

Definition

Answer 1

Chronic inflammatory disease of Pancreas charact. by fibrosis & destruction of Panceriatic tissue leading to failure of endocrine & exocrine function of Pancreas.

Question 2

Causes

Answer 2

TIGAR - O
*Toxic …Alcohol, Tobacco
*Idiopathic
*Genetic Cystic fibrosis..Hereditary panceriatitis.
*Autoimmune -> Auto immune pancreatitis (igG4 related aip)
*Recurrent & Severe acute Pancreatitis -
*Obstructive -> Sphincter oddi dysfunction,ductadenocarcinoma

Question 3

Diagnosis

Answer 3

*abd. X-ray… calcification
*CT…. calcification
*MRCP… abnormal panceriatic duct.
*EUS
*Labs:
1-Fecal elastase
2-14CO2 breath test
3-PABA test.
4-Panceoluryl test
5-72h fecal fat
6-Sudan stain

Question 4

Treatment

Answer 4

Treatment:
1- Avoid alcohol
2- Analgesics
3- Management of steatorrhea
* Restrict fat intake
* Oral pancreatic enzyme supplements:اهم حاجة في العلاج
vit K, vit D
PPI
4- Insulin for D.M
5- ERCP: Stent or dilatation in main pancreatic duct
6- Drainage of pseudocyst

Question 5

Complications

Answer 5

1-panceriatic Pseudocyst
2-Pancreatic Cancer
3-Pancreatic ascites
4-Portal or Splenic vein thrombosis
5- Obstructive Jaundice

Question 6

C/p

Answer 6

Chronic abdominal pain
+ exocrineinsufficiency
يعني في) malabsorption,steatorrhea,wt loss
+endocrine insufficiency
يعني هيحصل diabetes