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7 Cards in this Set
- Front
- Back
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Acute Pancreatic Etiology
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Gallstones
Alcohol ESRD Drugs |
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AP Clinical Presentation
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Abdominal pain
Gastric Tenderness, Decreased BS N/V Labs: Increased Amylase 3x UNL = 400ish Increased CRP |
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AP Treatment
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Supportive Care
-Fluid resuscitation -Electrolyte Replacement ERCP Nutrition - TPN Opioid Analgesics -Morphine, Hydropmorphine -PCA Octreotide -Not used routinely Imipenem-cilastatin or FQ + Metronidazole -Not for prevention |
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Chronic Pancreatitis Etiology
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Alcohol
Cigarette Smoking |
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CP Clinical Presentation
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Abdominal Pain
Steatorrhea- fat in stool Weight Loss Diabetes |
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CP Treatment
Non Pharmacologic |
Avoid Alcohol
6 meals Fat restriction 50-75 g/day Endoscopic -Sphincterotomy -Pancreatic duct stenting -Lithotropy |
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CP Treatment
Pharmacologic |
Pain Management
-APAP or NSAID -Tramadol -SSRI or TCA Adjunctive -Opioid for severe -Pancreatic Enzymes Treatment of Malabsorption -Dietary fat restriction <25g/meal -Pancreatic Enzymes -PPI or H2 antag |
