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Flashcards in Diagnostic tests/ Treatments Deck (13)
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1
Q

Severity of pancreatitis

A

BUN

2
Q

SIRS

A

temp, HR, RR, and WBC ; if 2 or more than positive

3 or more - more aggressive monitoring

3
Q

evaluate biliary tree with pancreatitis

A

US of abdomen

4
Q

if diagnosis of pancreatitis is unclear

A

CT without IV contrast

5
Q

if pancreatitis after 72 hours has persistent SIRS to evaluate for NECROTIZING pancreatitis

A

CT with IV ( or MRI)

6
Q

Pancreatitis Treatment

A
symptomatic tx for interstitial
1) fluid resuscitation (lactated ringers)
2) pain management
3) supplemental O2
other tx:
-observe for signs of organ failure: respiratory depression and renal failure
-nutrition(ASAP)
-ERCP
7
Q

Pancreatitis complications

A

pseudocysts (EUS to drain it when symptomatic)-most common
necrotizing pancreatitis and abscess
GI bleeding (Hemosuccus pancreatitis-emergency bleeding through the duct of the pancreas)
splenic infarction
organ failure, Respiratory insufficiency, renal failure

8
Q

chronic pancreatitis

A

analyze fecal fats for steatorrhea

9
Q

Chronic pancreatitis treatment

A
pain control-Narcotics
pancreatic enzyme supplement 
insulin
endoscopic therapy
surgical therapy
10
Q

Chronic pancreatitis, radiology

A

anatomical abnormalities (calcifications + abnormalities of pancreatic duct)
imagining studies most frequent way of diagnosis
most sensitive is EUS

11
Q

Initial tests for pancreatic cancer

A

US and CT scan

12
Q

definitive tests for pancreatic cancer

A

endoscopy: aspiration biopsy, ERCP

13
Q

Blood tests of pancreatic cancer

A

CEA, POA used to monitor not diagnosis!