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21 Cards in this Set

  • Front
  • Back
2 kinds of acute pancreatitis
mild acute pancreatitis
severe pancreatitis
3 organs affected by severe pancreatitis
heart
lung
kidney
pacreatitis starts with ___ converstion of ___ to ___
intra-acinar
trypsinogen
trypsin
accumulation of ___ in ___ causes ___ fat necrosis
lipase
interstitium
peripancreatic
common channel theory of gallstone pancreatitis
bile enters pancreatic duct
4 toxins causing acute pancreatitis
EtOH
MeOH
scorpion toxin
organophosphates
3 vascular causes of acute pancreatitis
atherosclerotic emboli
ischemia
vasculitis/SLE
top 3 causes of acute pancreatitis
gallstones
alcohol
idiopathic
T/F: nausea and vomiting may be present in acute pancreatitis
true
pain in gallstone pancreatitis is sharper/duller than in alcoholic
sharper
amylase rises ___ hours after onset of symptoms; it returns to normal after ___ days
2--12
3--5
___ can cause amylase release from salivary and pancreatic glands
mumps
amylase sensitivity is decreased in ___ (2)
high TG
alcoholic pancreatitis
T/F: amylase levels correlate with severity
false
lipase is produced in ___ (2)
pancreatic acini
stomach
2 tests specific for acute pancreatitis
trypsinogen activation peptide 10
trypsinogen 2
___ indicates that gallstone is the cause of pancreatitis
ALT or AST>3 times UL
4 signs of pancreatitis on abdominal film
small bowel sentinel loop
colon: cutoff sign
gall bladder stone
pancreatic stone
3 signs of pancreatitis on CXR
elevation of diaphragm
atelectasis
pleural effusion
6 complications of acute pancreatitis
shock
DIC
respiratory failure
renal failure
hypocalcemia
hypoglycemia
lipase levels rise ___ hours after onset, normalize within ___ days
4--8
8--14