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6 Cards in this Set
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- Back
Drugs Causing Pancreatitis
(DEAx5)
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Diuretics- furosemide/HCTZ Estrogen Azathioprine/6MP L-Asparaginase Antiretroviral (Didanosine) Antiseizures (valproic acid) Antibiotics (tetracycline, sulfonamides, pentamidine)
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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. |
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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 |
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Pancreatic CA RFs |
RF: DM, Chronic or Hereditary Pancreatitis, smoking, high fat diet, bezidine
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Pancreatic CA general survival rate
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Survival rate: at 5 yr <2% |
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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% |