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9 Cards in this Set

  • Front
  • Back
Who is at increased risk for acute pancreatitis?
excess EtOH, Gallstones, hypertriglceridemia, Hypercalcemia, malignancy, autoimmune, pregnancy, drugs(diazides), ERCP, CF, pancreatic divisum.
What are the dx criterias for acute pancreatitis?
2 out of 3 following criterias.
1. abdominal pain
2. increased pancreatic enzymes (amylase, lipase -> 3x of upper normal)
3. Imaging of pancreatic inflammation.
What is ecchymosis in the flank called?
Grey-Turner sign. It indicates poor prognosis.
What is ecchymosis around the umbilicus called?
Cullen sign. It indicates blood in the abdomen from pancreatic necrosis.
What lab is sensitive for acute alcoholic pancreatitis?
Lipase is more sensitive than amylase level in acute alcoholic pancreatitis. However, lipase can be falsely elevated in renal insufficiency and head trauma or head mass.
What best available lab markers for the severity of acute pancreatitis?
Serum C-reactive protein at 48 hrs. LFT should be routine ck too.
What imaging studies help with evaluation of acute pancreatitis?
Initial imaging study is ultra sound of RUQ. 95% relatively sensitivity for dx gallstone disease.
What is(are) the treatment for acute pancreatitis
Fluid resuscitation is critical. Should be guided by VS, urine output and hct. Increasing hct and BUN indicates worsening severity.
When should be diet be advanced?
The diet should be advanced based on how the patient feels. No clear consensus about fat restriction.