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9 Cards in this Set
- Front
- Back
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Who is at increased risk for acute pancreatitis?
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excess EtOH, Gallstones, hypertriglceridemia, Hypercalcemia, malignancy, autoimmune, pregnancy, drugs(diazides), ERCP, CF, pancreatic divisum.
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What are the dx criterias for acute pancreatitis?
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2 out of 3 following criterias.
1. abdominal pain 2. increased pancreatic enzymes (amylase, lipase -> 3x of upper normal) 3. Imaging of pancreatic inflammation. |
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What is ecchymosis in the flank called?
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Grey-Turner sign. It indicates poor prognosis.
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What is ecchymosis around the umbilicus called?
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Cullen sign. It indicates blood in the abdomen from pancreatic necrosis.
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What lab is sensitive for acute alcoholic pancreatitis?
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Lipase is more sensitive than amylase level in acute alcoholic pancreatitis. However, lipase can be falsely elevated in renal insufficiency and head trauma or head mass.
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What best available lab markers for the severity of acute pancreatitis?
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Serum C-reactive protein at 48 hrs. LFT should be routine ck too.
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What imaging studies help with evaluation of acute pancreatitis?
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Initial imaging study is ultra sound of RUQ. 95% relatively sensitivity for dx gallstone disease.
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What is(are) the treatment for acute pancreatitis
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Fluid resuscitation is critical. Should be guided by VS, urine output and hct. Increasing hct and BUN indicates worsening severity.
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When should be diet be advanced?
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The diet should be advanced based on how the patient feels. No clear consensus about fat restriction.
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