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6 Cards in this Set

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Drugs Causing Pancreatitis



(DEAx5)


Diuretics- furosemide/HCTZ


Estrogen


Azathioprine/6MP


L-Asparaginase


Antiretroviral (Didanosine)


Antiseizures (valproic acid)


Antibiotics (tetracycline, sulfonamides, pentamidine)


serum amylase is cleared by the ____________.

kidney



*Therefore persistent hyperamylasemia suggests complications. Consider penetrating ulcer and EGD if patient has vomiting, elevated amylase and no signs of obstruction.

Pancreatic Abscess

Time: Develops 2-4wks after acute pancreatitis



Px: Fever >38.3, Persistent abd pain



Labs: Persistent hyperamylasemia



Txt: Surgical drainage, gram neg antibiotics

Pancreatic CA


RFs

RF: DM, Chronic or Hereditary Pancreatitis, smoking, high fat diet, bezidine


Pancreatic CA


general survival rate


Survival rate: at 5 yr <2%

Pancreatic CA


Criteria for Resection


Survivability with Resection

Criteria for Resectability: tumor < 2cm, No LN invasion or mets



Survival w/ Pancreatectomy and Whipple same:


3 yr, 33%; 5 yr, 1%; w/ operative mortality of 5%