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Abdomen 2 > Pancreatitis > Flashcards

Pancreatitis Flashcards

0
Q

What percentage of pt’s with pancreatitis have cholelithiasis?

A

40-60%

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1
Q

Etiologies of Acute Pancreatitis

A

Biliary tract disease, alcohol abuse, and trauma

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2
Q

What would be a cause of acute pancreatitis in young adults/college age kids?

A

Alcohol abuse/ETOH abuse

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3
Q

What is a cause of acute pancreatitis in children?

A

Blunt trauma, such as bicycle handlebars to the abdomen

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4
Q

Clinical signs of acute pancreatitis?

A

N/V, fever, distended abd. secondary to ileus, persistent pain after eating, and more if complication occur

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5
Q

Labs associated with pancreatitis?

A
  • Increase in amylase and lipase. Amylase within 24 hours and lipase within 72-94 hours. Lipase will remain elevated longer than amylase.
  • Leukocytosis, increase in WBC
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6
Q

Sonographic appearance of acute pancreatitis?

A
  • Normal appearance in 30% of the cases.
  • Classic appearance: hypoechoic, focal and diffuse swelling
  • Not uncommon to see fluid in dependent areas of the abd. Morrison pouch, Pouch of Douglas, PeriPancreatic, LUQ. Etc
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7
Q

Complications of acute pancreatitis?

A 
18% - Phlegmon
10% - Pseudocyst
1-9% - Abscess
5% - Hemorrhage
5% - Death
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8
Q

What is phlegmon?

A

Purulent peri-pancreatis edema, not free fluid. Can proceed necrosis.
Can have thru transmission on US

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9
Q

What is a pancreatic pseudocyst?

A
  • Fluid collection that has a well-defined non-epithelialized wall in response to extravagated pancreatic enzymes.
  • Lesser sac is most common place.
  • Can take months to resolve.
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10
Q

What is hemorrhagic pancreatitis?

A

Rapid progression of acute pancreatitis, there is diffuse enzymatic destruction of pancreatic parenchyma, this in turns leads to fat necrosis and vessel rupture and hemorrhage.

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11
Q

What are clinical signs of hemorrhagic pancreatitis?

A
  • Low BP, hypovolemic shock
  • Diaphoretic
  • Increase respirations
  • Ileus
  • Gray Turner’s syndrome - Discoloration of flanks due to extravasated blood
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12
Q

What are labs for hemorrhagic pancreatitis?

A

Decrease in hemoglobin and hematocrit

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13
Q

Etiologies of Chronic Pancreatitis

A
  • Formation of scar tissue within gland, decreased function of organ
  • More common in males
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14
Q

Clinical signs of chronic pancreatitis

A
  • Recurrent attacks of acute pancreatitis at risk

- Pt can develop diabetes, duodenal obstruction, and jaundice

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15
Q

Sonographic appearance of chronic pancreatitis

A
  • Thin, atrophic
  • Echogenic
  • 92% have calcifications
  • 40% have dilated ducts

Abdomen 2 (3 decks)

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