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22 Cards in this Set
- Front
- Back
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What are teh potential complications of acute pancreatitis?
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pancreatic duct rupture with ascites, phlegmon or abscess, pseudocyst, sepsis
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What are the common causes of acute pancreatitis?
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gallstones, ethanol, abdominal blunt trauma
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What are the less common causes of acute pancreatitis?
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hypertriglyceridemia, hypercalcemia, genetic, drugs, autoimmune pancreatitis, anatomic issues
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What do you test for acute pancreatitis?
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serum amylase and serum lipase
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Where is amylase made?
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pancreas, salivary glands
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What causes chronic elevation of serum amylase?
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macroamylasemia, renal failure
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What is up with testing serum lipase?
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stays elevated longer than amylase, assays vary in quality
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Hwo do you scan for acute pancreatitis?
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CT scan with IV contrast
check for edema, excess fluid, necrotic areas, pseudocysts |
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What are the clinical sequelae of acute pancreatitis?
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3rd spacing, SIRS, hypotension, secondary infection, pancreatic abscess, pseudocyst, hemorrhage, duct rupture
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how do you treat acute pancreatitis?
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supportive, alternate nutrition, duct stenting, pseudocyst drainage, abscess drainage
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How do you prevent acute pancreatitis?
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stop alcohol, remove gallbladder, correct metabolic issues, avoid drugs, immunosuppression if autoimmune
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What are the complications of acute pancreatitis?
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chornic abdominal pain, acute exacerbations, obstruction of GI tract, maldigestion and malabsorption
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What can cause chronic pancreatitis?
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alcohol, recurrent acute episodes, anatomic issues, genetics, autoimmune
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What are the anatomic issues that cause chronic pancreatitis?
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pancreas divisum, annular pancreas
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What are the genetic issues that cause pancreatitis?
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CF, SPINK1, cationic trypsin
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What autoimmune problems cause chronic pancreatitis?
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Sjogren's, primary biliary cirrhosis, IBD
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What do you look for in CT for chronic pancreatitis?
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abnomral pancreas, ductal dilation, calcificiation, assess for cancer
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how do you improve pancreatitis drainage?
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duct stenting and stone removall, duct drainage
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What are the pancreatic complications of CF?
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ducts obstructed in utero, atrophic pancreas at birth, biliary flow poor
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What do you see with autoimmune pancreatitis?
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diffusely enlarged pancreas, ANA positive, high IgG4 subtype
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What are the types of true pancreatic cysts?
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serous and mucinous
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Which pancreatic cysts have neoplastic potential?
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mucinous
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