PANCREAS (Pancreatitis Aguda Y Crónica, Dx, Tto Y Procedimientos) Flashcards

(49 cards)

1
Q

What is pancreatitis?

A

Pancreatitis is the inflammation of the pancreas.

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2
Q

What are the two main types of pancreatitis?

A

The two main types of pancreatitis are acute pancreatitis and chronic pancreatitis.

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3
Q

True or False: Acute pancreatitis is a long-term condition.

A

False

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4
Q

What is a common cause of acute pancreatitis?

A

A common cause of acute pancreatitis is gallstones.

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5
Q

Fill in the blank: Chronic pancreatitis often develops after repeated episodes of __________.

A

acute pancreatitis

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6
Q

What is a major risk factor for developing chronic pancreatitis?

A

Chronic alcohol consumption is a major risk factor.

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7
Q

What are some symptoms of acute pancreatitis?

A

Symptoms include severe abdominal pain, nausea, vomiting, and fever.

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8
Q

True or False: Chronic pancreatitis can lead to diabetes.

A

True

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9
Q

Which diagnostic test is commonly used to confirm pancreatitis?

A

A blood test measuring pancreatic enzymes, such as amylase and lipase.

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10
Q

What is the role of lipase in diagnosing pancreatitis?

A

Elevated lipase levels in the blood are indicative of pancreatitis.

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11
Q

What lifestyle change can help prevent pancreatitis?

A

Reducing alcohol consumption can help prevent pancreatitis.

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12
Q

Fill in the blank: The pancreas is located behind the __________.

A

stomach

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13
Q

What is a potential complication of acute pancreatitis?

A

Complications can include necrotizing pancreatitis and infection.

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14
Q

True or False: All cases of pancreatitis require surgical intervention.

A

False

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15
Q

What is the primary treatment for acute pancreatitis?

A

The primary treatment is supportive care, including hydration and pain management.

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16
Q

Which imaging study is often used to evaluate pancreatitis?

A

A CT scan is often used to evaluate pancreatitis.

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17
Q

What dietary recommendation is typically suggested for those with pancreatitis?

A

A low-fat diet is typically recommended.

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18
Q

Fill in the blank: Chronic pancreatitis can lead to the loss of __________ function.

A

exocrine

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19
Q

What is the significance of pancreatic enzyme replacement therapy?

A

It helps manage malabsorption and nutritional deficiencies in chronic pancreatitis.

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20
Q

True or False: Pancreatitis can be completely cured.

21
Q

What is a common symptom of chronic pancreatitis?

A

Chronic abdominal pain is a common symptom.

22
Q

What role does smoking play in pancreatitis?

A

Smoking is a risk factor that can exacerbate pancreatitis.

23
Q

Which enzyme is most commonly elevated in acute pancreatitis?

24
Q

True or False: Pancreatitis can be caused by certain medications.

25
What is one way to manage pain in chronic pancreatitis?
Pain management can include medications such as opioids.
26
Fill in the blank: __________ pancreatitis is often associated with hereditary conditions.
Chronic
27
What is an important consideration in the management of acute pancreatitis?
Monitoring for complications is important in management.
28
What is the relationship between pancreatitis and diabetes?
Pancreatitis can damage insulin-producing cells, leading to diabetes.
29
Which age group is most commonly affected by acute pancreatitis?
Adults aged 30 to 60 years.
30
What is a possible long-term outcome of chronic pancreatitis?
Increased risk of pancreatic cancer.
31
Fill in the blank: __________ is a common symptom that can occur during a pancreatitis attack.
Nausea
32
What is the purpose of endoscopic retrograde cholangiopancreatography (ERCP) in pancreatitis?
ERCP is used to remove bile duct obstructions.
33
La elevación de este zimogeno es el principal indicador para sospechar pancreatitis
Lipasa
34
Principales etiologías de pancreatitis aguda
Obstrucción biliar, seguido de ingesta de alcohol.
35
Para el Dx de pancreatitis aguda, se necesitan al menos dos de los siguientes:
Dolor pancreático, incremento de lipasa o amilasa, y evidencia de imagen.
36
Describe que es el Atlanta SCORE
Es un clasificación para determinar severidad de pancreatitis
37
¿Cuál es valor límite de lipasa?
160. Eso o más sugiere pancreatitis
38
¿Por qué la pancreatitis causa nauseas?
Al inflamarse el pancreas, comprime estomago y via biliar. Considerar que tambien puede ocasionar elevación de enzimas hepaticas.
39
Estos dos valores son indicadores de MAL pronóstico en el paciente con pancreatitis aguda
Ca menor de 7.5 mg/dl, y un IMC mayor de 30
40
¿Qué es una CPRE y para que lo necesitamos?
Método endoscópico para imagen, toma de muestras, dilatación de estrechamientos y tratar cálculos y obstrucciones. Se usa cuando los conductos biliares o pancreaticos tienen filtraciones o se han estrechado o bloqueado.
41
¿Con qué escalas se valora la disfunción orgánica?
MARSHAL on the SOFA
42
¿Qué son los criterios de BISAP?
Escala que predice la probabilidad de morir a las 24 horas y a los 7 días por PA. Para valoración clínica y enfoque terapéutico, se prefiere Ranson y Balthazar.
43
¿Cómo funciona Balthazar? (Ejercicios de puntaje)
Describe la gravedad de PA por TC. Primero se da un puntaje respecto a las características, del 0 al 4. Después se suma un puntaje de 0, 2, 4 o 6, según el porcentaje de necrosis. Se suman ambos valores clasificamos… PA leve en menos de 3 PA moderada en 4-6 PA grave en más de 7
44
Este dato en imagen es sugestivo de pancreatitis
Colón cortado. Imagen en vidrio despulido, que representa líquido acumulado que desplaza vísceras
45
¿Cómo puedes calcular o estimar el riesgo de mortalidad?
Criterios de Ranson. Valoran elementos clínicos al ingreso y en las primeras 48 horas
46
Menciona las principales complicaciones de Pancreatitis Aguda
Abscesos locales o de órganos adyacentes, Flemon pancreaticao, ascitis, disfunción sistémica…
47
¿Con qué tratarías el dolor en PA?
Opioides
48
Esta escala determina la severidad de pancreatitis, ¿cual es y como se usa?
Fácilmente aplicaría ATLANTA, pero BALTHAZAR por TC puede tambien clasificar.
49
Tratamiento según Severidad…
CPRE como primera intervención local. Laparotomía es lo más invasivo si hay infección peripancreatica u otras comlicaciones.