Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
What are xanthomas?
|
painless, yellow papilli on hands, butt, etc
|
|
|
Types of drugs associated with Acutes Pancreatitis
|
AIDS Drugs
Antibiotics CV drubs GI drugs Immunosuppressive Neuropsychiatry Gynecology |
|
|
Main Sx's of Acute Pancreatitis in descending order of prevalence
|
Abd Pain
Vomiting Fever Guarding Tachycardia Jaundice Dyspnea Shock Hematemesis |
|
|
Pancreatic Enzyme Levels with pancreatitis
|
LIPASE: initially spikes, but levels off within 6 or 7 days
CRP: increases after 1 day and stays elevated AMYLASE: only increases for the first couple days |
|
|
Number 1 imaging study for pancreatitis?
|
CT with contrast
|
|
|
How can we assess the severity of pancreatitis?
|
Ranson's Scoring System
Balthazar's CT scoring system CRP, Obesity, Hct |
|
|
CRP and severity assessment
|
<10mg% = mild
>150mg% = severe |
|
|
Obesity and severity
|
BMI < 30 = mild
BMI > 30 = severe |
|
|
Hct and severity
|
<47% = mild
>47% = severe |
|
|
Management Goals
|
Limit Systemic Complications
Prevent pancreatic necrosis Prevent pancreatic infection Remove Cause |
|
|
Supportive Care
|
Volume Replacement
Correct Electrolytes Treat Diabetes Treat Pain N/G suction if vomiting |
|
|
When do you use anitbiotics in Pancreatitis?
|
Infected Necrosis
Infected Pseudocyst Pancreatic Abscess |
|
|
If you see necrosis, give the patient:
|
Antibiotics b/c if there is increased necrosis, then there is increased infection
|
|
|
When do you give prophylactic antibiotics with pancreatitis?
|
Necrosis
Cholangitis Duration of longer than 2 weeks |
|
|
When do you give nutritional support with pancreatitis?
|
Ranson of >2 or Apache <9
|
|
|
What kind of nutritional support do you give?
|
Enteral is preferred, but TPN if there is enteral intolerance or pain
|
