Flashcards in Severe Upper Abdo Pain Deck (26):
2 out of 3 findings needed for pancreatitis
most sensitive LFTs for gall stones?
what do you need to see on RUQ ultrasound
bile duct 4-5mm
gall bladder wall thickness
how does gallstones cause pancreatitis?
autoactivation/digestion of pancreas from it's own enzymes
pancreatitis characterised how?
mild - no organ failure
mod - transient organ failure
Severe- persistant organ failure
useful blood test for pancreatitis to characteritics?
CRP, if over 150 or 200, mod, severe.
good scoring system for pancreatitis?
only thing to modify outcome in severe pancreatitis?
ICU - for lots of fluids
normal urine output?
abdo structures that can be damaged by pancreatitis?
if they have cholangitis from gall stone, how to treat early with?
early complications of acute pancreatitis?
SIRS - hypoxia, renal failure
WBC (high or low)
SIRS vs. sepsis?
SIRS is non-infectious
multi-organ dysfunction syndrome
blood tests for sepsis?
if getting Fi02, what is p02 should be?
Fi02 times 5
non-invasive ventilation are?
BIPAP - bi-level to force air INTO lung
CPAP -continuous positive pressure both ways
non-invasive good for what kind of respiratory failure?
Type 2, more for ventilatory
acute complications of pancreatitis on CT?
fluid collections (becomes pseudocyst)
Walled off fluid
left colon infarct
splenic vein thrombosis?
Abx for pancreatitis?
only if has cholangitis
or infective necrosis
what ABx for pancreatitis if you use them?
enteral or TPN better for pancreatitis?
most common yeast and mould?
yeast - candida
mould - aspergillus
risk factors for invasive candida