Pancreas Flashcards
(17 cards)
What are the most common causes of acute pancreatitis?
Heavy alcohol use or a passed gallstone
Where does pancreatitic pain typically radiate to?
the back
What labs would be elevated in acute pancreatitis?
leukocytosis, amylase and lipase
What is a serious complication of acute pancreatitis?
ARDS
What is the “cut off” sign?
On xray, the gas-filled segment of transverse colon abruptly ending at the pancreatitic inflammation
What is the treatment of acute pancreatitis?
nothing by mouth until complete resolution of pain and has +bowel sounds
What are the symptoms of chronic pancreatitis?
Epigastric pain with referral to the upper left lumbar region with steatorrhea and weight loss
What is the most common cause of chronic pancreatitis?
alcoholism
What does TIGAR-O stand for? It’s a mnemonic for predisposing factors for chronic pancreatitis.
Toxic metabolic Idiopathic Genetic Autoimmune Recurrent Obstructive (stone or tumor)
What is pancreatic carcinoma characterized by?
Obstructive jaundice, weight loss
What is a Sister Joseph’s nodule?
seen in late pancreatic cancer, hard periumbilical nodule
What are the risk factors for pancreatic cancer?
age, obesity, tobacco, heavy alcohol use, chronic pancreatitis, hx of abdominal radiation, family hx
When would you expect to see a pancreatic pseudocyst?
usually 6 or more weeks into an episode of acute pancreatits
What are the signs and symptoms of pseudocyst?
fever, leukocytosis and localized tenderness and an epigastric mass
What does the fluid of a pseudocyst show?
high amylase content
What is the Ranson criteria used for?
to quantify the severity of alcoholic pancreatitis
What is included in the Ranson criteria?
age >55, Elevated WBC, BG, LDH, AST
