Pancreatitis Flashcards
1
Q
3 phases of pancreatitis
A
1) intrapancreatic digestive enzyme activation and acinar cell injury
2) intrapancreatic inflammatory reaction
3) effects of activated proteolytic enzymes and cytokines, released by the inflamed pancreas, on distant organs
2
Q
major symptom of acute pancreatitis
A
Abdominal pain
3
Q
pancreatic isoamylase and lipase levels may remain elevated for _____
A
7 to 14 days
4
Q
serum lipase value is usually diagnostic of acute pancreatitis
A
3x elevation
5
Q
risk factors for severity of acute pancreatitis
A
Age >60 years
Obesity, BMI >30
Comorbid disease
6
Q
BISAP score
A
(B) Blood urea nitrogen (BUN) >22 mg% (I) Impaired mental status (S) SIRS: 2/4 present (A) Age >60 years (P) Pleural effusion
7
Q
findings in acute pancreatitis
A
leukocytosis hyperglycemia hypocalcemia hyperbilirubinemia hypoxemia
8
Q
Rx Acute pancreatitis
A
NPO
analgesics
IV fluids
