Pancreatitis

Question 1

What is the sphincter of Oddi?

Question 2

What are the two chemicals that the pancreas secretes?

Answer 2

Bicarb

NaCl

Question 3

Why are pancreatitis patients NPO?

Answer 3

Do not want to secrete enzymes

Question 4

What are the cells of the pancreas that secrete glucagon?

Answer 4

Alpha cells

Question 5

What are the cells of the pancreas that secrete insulin?

Answer 5

Beta cells

Question 6

What do the delta cells of the pancreas secrete?

Answer 6

Somatostatin

Question 7

What do acinar cells of the pancreas secrete?

Answer 7

Trypsinogen

Question 8

What cells of the pancrease secrete the digestive enzymes?

Answer 8

Basophilic cells

Question 9

What are the cells of the pancreas secrete bicarb?

Answer 9

Centroacinar cells

Question 10

What are the top two etiologies of pancreatitis?

Answer 10

EtOH (#1 cause in US)

Gallstones (#1 in world)

Question 11

What is choledocholithiasis?

Answer 11

gallstones in the pancreatic duct work

Question 12

What type of diuretic is linked to pancreatitis?

Answer 12

thiazide diuretics

Question 13

What are the two metabolic conditions that can cause pancreatitis?

Answer 13

Hyperlipidemia

Hypercalcemia

Question 14

Hypercalcemia causes what change in the pancreas that can be visualized on CT?

Answer 14

Saponification

Question 15

What is the parasite that can cause pancreatitis?

Answer 15

Ascaris lumbricoides

Question 16

What are the ssx of pancreatitis?

Answer 16

Acute onset abdo pain with radiation to the back

n/v

Question 17

What is cullen’s sign?

Answer 17

Periumbilical hematoma secondary to pancreatitis

Question 18

What is gray turner’s sign?

Answer 18

Nephro-inflammatory process seen in pancreatitis

Question 19

What is the major problem with US?

Answer 19

Cannot see through adipose tissue well

Question 20

What are the labs you should order with suspected pancreatitis?

Answer 20

CBC
BMP
Lipase
LFTs

Question 21

Are abx indicated for pancreatitis?

Answer 21

Usually no

Question 22

How should you hydrate pancreatitis patients?

Answer 22

IVF boluses (5-6 L)

Question 23

What are the synthetic liver functions for labs?

Answer 23

Albumin
INR
Total protein

Question 24

What is the function of CRP?

Answer 24

Opsonizer

Question 25

What is really, really indicated for pancreatitis?

Answer 25

IVF

Question 26

How long does pancreatitis usually resolve with NPO?

Answer 26

3-7 days

Question 27

How long does it take for the exocrine functions of the pancreas to normalize following an episode of acute pancreatitis?

Answer 27

months

Question 28

What are the three potential endocrine problems with acute pancreatitis?

Answer 28

Hypocalcemia Hyperglycemia Hypertriglyceridemia

Question 29

What are the surgical indications for acute pancreatitis?

Answer 29

Necrosis | Pseudocyst formation

Question 30

What disease can form from acute pancreatitis?

Answer 30

DM

Question 31

What type of diet is recommended for chronic pancreatitis?

Answer 31

Low fat diet

Question 32

Where does pain radiate with pancreatitis?

Answer 32

Back

Question 33

Is there a change in BMs with pancreatitis?

Answer 33

Nah

Question 34

What is the PE that should be performed with GI issues?

Answer 34

Rectal exam

Question 35

AST:ALT in a 2:1 ratio is suggestive of what?

Answer 35

EtOH caused liver disease