CM- GI-8- Pancreatitis
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| What is pancreatitis and what are the common causes of it | show 🗑
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| show | hereditary (cystic fibrosis), Medications (thiazide, furosemide, tetracycline, azothiaprine, nitrofurantoin, oral contraceptives) Chemical Exposure, pregnancy, blunt trauma
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| show | Necrotizing Pancreatitis
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| What is ranson's criteria for | show 🗑
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| show | team management with intensivist, surgeon and gastroenteroligist, monitored in ICU they have a predicted mortality of 15%
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| What is the predicted mortality if a patient meets 7-8 Ranson's criteria for acute pancreatitis | show 🗑
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| what are the sx of acute pancreatitis | show 🗑
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| What are some signs of acute pancreatitis | show 🗑
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| If patient has severe acute pancreatitis what signs are you possibly going to see | show 🗑
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| What would you expect to see on following lab work up values if pt has acute pancreatitis, CBC, HCT, Serum Amylase, Urine Amylase, Serum Lipase, Serum Calcium, Serum glucose, LFT's, C-reactive protein | show 🗑
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| What procedure would you order that is diagnostic, prognostic and therapeutic value for acute pancreatitis | show 🗑
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| How do you manage acute pancreatitis | show 🗑
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| show | All are possible complications of pancreatitis
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| show | 80% will have mild episode that subsides in 7 days 3% will progres to severe and develop complication
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| What is chronic pancreatitis | show 🗑
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| show | Strictures, Calculi, dilation of pancreatic duct
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| show | male>female, chronic alcoholism, obstruction, annular pancreas, herediatry pancreatitis, untreated hyperparathyroidism
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| show | Sclerosing Pancreatitis
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| show | EtOH use, lab tests, diagnositc imaging
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| What labs do you want to test for chronic pancreatitis | show 🗑
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| show | plain abdominal x-ray(look for calcification), Ultrasound, endoscopic ultrasonography, CT scan, and ERCP
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| show | glucocroticoids, aboid EtOH, frequent small vol low fat meals, avoid narcotics, enzyme supplements, octreotide, nerve block, treat complications
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| What surgical options are available for treating chronic pancreatitis | show 🗑
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| show | long term survival is poor better if they have recurrent acute pancreatitis from cholelithiasis, hyperparathyroidism or stenosis of sphincter of oddi
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| show | pancreatic cancer is an adenocarcinoma of the epithelium of the pancreatic duct 5 year survival is 3%
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| When are you most likely going to see a patient with pancreatic cancer | show 🗑
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| what are the risk factors for pancreatic cancer | show 🗑
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| show | all hereditary syndromes that increase risk of developing pancreatic cancer
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| what are the s/sx of pancreatic cancer | show 🗑
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| show | serum lipase/amylase, LFT's, stool for occult blood, glucose, CBC, cancer antigen
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| show | endoscopic ultrasound, CT of abdomen and pelivis, Chest x-ray, ERCP (90% sensitvie)
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| What is the diagnostic procedure of choice for pancreatic cancer | show 🗑
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| What are the tx options for pancreatic cancer | show 🗑
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