L20: Acute Pancreatitis Flashcards
(100 cards)
1
Q
Def of Acute Pancreatitis
A
2
Q
Marseille’s Classification Of Pancreatitis
A
3
Q
Epidemeology of Acute Pancreatitis
A
4
Q
Percent of severe Acute Pancreatitis
A
5
Q
…… pancreatitis account for 90% of cases
A
Biliary + alcoholic
6
Q
Even in the west, …… pancreatitis is the most prevalent type.
A
biliary
7
Q
Etiology of Acute Pancreatitis
A
8
Q
Other Causes of Acute Pancreatitis
A
9
Q
Final Common Pathway of Pathogenesis of Acute Pancreatitis
A
10
Q
Theories of Biliary Acute Pancreatitis
A
11
Q
Theories of Biliary Acute Pancreatitis
- Common Channel Theory
A
12
Q
Theories of Biliary Acute Pancreatitis
- Incompetent Sphincter Theory
A
13
Q
Theories of Biliary Acute Pancreatitis
- Co-Localization Theory
A
14
Q
What is the most acceptable theory for acute Pancreatitis?
A
15
Q
Types of Acute Pancreatitis According to time
A
16
Q
Types of Acute Pancreatitis according to Severity
A
17
Q
Types of Acute Pancreatitis according to morphology
A
18
Q
Symptoms of Acute Pancreatitis
A
19
Q
Characters of Pain in Acute Pancreatitis
A
20
Q
General Signs in Acute Pancreatitis
A
21
Q
Local Signs in Acute Pancreatitis
A
22
Q
Lab INVx in Acute Pancreatitis
A
23
Q
Lab INVx in Acute Pancreatitis
- CBC
A
24
Q
Lab INVx in Acute Pancreatitis
- BUN & Creatinine
A
25
Lab INVx in **Acute Pancreatitis**
- ABG
26
Lab INVx in **Acute Pancreatitis**
- Liver Enzymes
27
Lab INVx in **Acute Pancreatitis**
- Serum Albumin
28
Lab INVx in **Acute Pancreatitis**
- Urine Analysis
29
Lab INVx in **Acute Pancreatitis**
- Serum Amaylase
30
What is the easiest & Most Widely Used Lab INVx in **Acute Pancreatitis**?
31
Normal Levels of Serum Amylase
32
Values of Serum Amylase in Acute Pancreatitis
- Suggestive Levels
- Diagnostic Levels
33
When does serum amaylase rise in **Acute Pancreatitis**?
34
Falcies of serum amaylase rise in **Acute Pancreatitis**
35
What does persistent High Levels of Amaylase in Acute Pancreatitis Indicate?
36
Which is more specific, Serum Amaylase or serum Lipase?
37
Causes of Increased Serum Amaylase
38
39
Rad INVx in **Acute Pancreatitis**
- X-Ray
40
Disadvantages of X-Ray in **Acute Pancreatitis**
41
Findings of US in **Acute Pancreatitis**
42
Uses of US in **Acute Pancreatitis**
43
Findings of Contrast CT in **Acute Pancreatitis**
44
if ....
45
Indications of Contrast CT in **Acute Pancreatitis**
46
CT Grading in **Acute Pancreatitis**
47
Complications of **Acute Pancreatitis**
48
Local Complications in **Acute Pancreatitis**
49
General Complications of **Acute Pancreatitis**
50
General Complications of **Acute Pancreatitis**
- Etiology of Shock
51
General Complications of **Acute Pancreatitis**
- Consequences of Shock
52
General Complications of **Acute Pancreatitis**
- Managment of Shock
53
General Complications of **Acute Pancreatitis**
- Etiology of Resp Failure
54
General Complications of **Acute Pancreatitis**
- CP of Resp Failure
55
General Complications of **Acute Pancreatitis**
- Etiology of Hypocalcemia
56
General Complications of **Acute Pancreatitis**
- Managment of Hypocalcemia
57
General Complications of **Acute Pancreatitis**
- TTT of Pleural effusion
58
General Complications of **Acute Pancreatitis**
- Etiology of ARDS
59
General Complications of **Acute Pancreatitis**
- CP of ARDS
60
Local Complications of **Acute Pancreatitis**
- Time of Pancreatic Abcess
61
Local Complications of **Acute Pancreatitis**
- Cause of Pancreatic Abcess
62
Local Complications of **Acute Pancreatitis**
- TTT of Pancreatic Abcess
63
Local Complications of **Acute Pancreatitis**
- Time of **Pseudocyst (Vide Infra)**
64
Local Complications of **Acute Pancreatitis**
- Incidence of **Pseudocyst (Vide Infra)**
65
Local Complications of **Acute Pancreatitis**
- Results of **Pseudo aneurysm (Vide Infra)**
66
Local Complications of **Acute Pancreatitis**
- Causes of **Pseudo aneurysm (Vide Infra)**
67
Bleeding into the pancreatic duct is called .......
haemosuccus pancreaticus.
68
Local Complications of **Acute Pancreatitis**
- Mortality of **Pseudo aneurysm (Vide Infra)**
69
Local Complications of **Acute Pancreatitis**
- TTT of **Pseudo aneurysm (Vide Infra)**
70
Prognostic Systems of **Acute Pancreatitis**
71
Ranson's Criteria of Acute Pancreatitis **NOT** Due to Gallstones
72
Ranson's Criteria of Acute Pancreatitis Due to Gallstones
73
Managment Principles of **Acute Pancreatitis**
74
Steps of Managment of **Acute Pancreatitis**
75
Managment of **Acute Pancreatitis**
- Aspiration with Ryle Tube
76
Managment of **Acute Pancreatitis**
- Blood Transfusion
77
Managment of **Acute Pancreatitis**
- Charts
78
Managment of **Acute Pancreatitis**
- Drugs
79
Managment of **Acute Pancreatitis**
- Prophylactic antibiotics (Uses & Examples)
80
Managment of **Acute Pancreatitis**
- LMW Dextran
81
Managment of **Acute Pancreatitis**
- Dopamine
82
Managment of **Acute Pancreatitis**
- Exploratomy Laparotomy
83
Managment of **Acute Pancreatitis**
- Indications of Exploratomy Laparotomy
84
Peritoneal lavage is done followed by insertion of tube drain (Lavage has shown some benefits).
85
Incases of infected necrosis, a ...... is done.
necrosectomy
86
The wound can be left open as laparotomy or with mesh or zip.
87
With the advent of wonderful imaging techniques, surgical intervention is rarely being done in the initial phase of acute pancreatitis.
88
In early cases, the pancreas should not be handled.
89
Managment of **Acute Pancreatitis**
- Fluids
90
Compare Between Acute Edemetous, Necrotizing (Sterile), Necrotizing (Infected) Pancreatitis
- Admission
- IV Fluids
- Blood Transfusion
- Antibiotics
- Oral Nutrition
- Hypomagnesemia & Hypocalcemia
- Oxygen
- Sugar
91
Managment of **Acute Pancreatitis**
- Role of Prophylactic Antibiotics
92
Managment of **Acute Pancreatitis**
- Role of Prophylactic Antibiotics (Drugs Used)
93
Managment of **Acute Pancreatitis**
- Role of Prophylactic Antibiotics (Efficacy)
94
Managment of **Acute Pancreatitis**
- When to Resume Oral Intake?
95
Management of necrotic pancreatitis
- Approach to Sterile Necrosis
96
Managment of **Acute Pancreatitis**
- Nutritional Support
97
Managment of **Acute Pancreatitis**
- Specific consideration of biliary pancreatitis
98
Algorithm of TTT of Acute Pancreatitis
99
Done
100
Done
