Shared Flashcard Set

Details

Diseases of the Pancreas
Clinical Medicine Test 4
20
Medical
Graduate
10/19/2010

Additional Medical Flashcards

 


 

Cards

Term
What is a common complication of pancreatitis?
Definition
fluid collection around pancreas during acute inflammation
Term
What accounts for 70-80% of acute pancreatitis?
Definition
Gallstones and alcohol
Term
10 etiologies of acute pancreatitis?
Definition
1) Gallstones
2) Alcohol
3) Obstruction of pancreatic duct
4) Pancreas divisum
5) Drugs and toxins
6) Infection
7) Metabolic factors
8) Trauma
9) Genetic factors
10) Idiopathic
Term
Most common symptom of acute pancreatitis?
Definition
Pain in epigastrium that radiates towards the back-very severe
Term
What other symptoms are common with acute pancreatitis?
Definition
1) Nausea
2) Vomiting
Term
75% of patients with acute pancreatitis will have what elevated lab?
Definition
elevated amylase

*Elevations >3X normal highly suggestive, in renal failure >5X highly suggestive
Term
What lab test is more sensitive and specific for pancreatitis?
Definition
serum lipase

*>3X normal associated with high sensitivity/specificity
Term
What finding is found on ultrasound in 2/3 people with acute pancreatitis?
Definition
1) changes in echotexture
2) peripancreatic fluid collections
Term
Most accurate imaging study for pancreatitis?
Definition
CT
Term
3/4 of people with pancreatitis have what prognosis?
Definition
benign course
Term
most of the morbidity and mortality with pancreatitis is confined to whom?
Definition
those with necrotizing pancreatitis
Term
What is the main treatment for severe acute pancreatitis?
Definition
prompt fluid replacement (may take 5-10 liters/day)
Term
What allows for accurate measure of fluid needs?
Definition
Hemoconcentration marker of third space fluid loss

*Central Venous Pressure and pulmonary capillary wedge pressure are accurate measurements of fluid needs.
Term
What are the most common causes of death in the first week of illness with acute pancreatitis?
Definition
1) shock
2) ARDS
3) multiorgan failure
Term
what is the most common cause of hypocalcemia as a metabolic complication of pancreatitis?
Definition
hypoalbuminemia

*replacement usually not needed
Term
What are 7 complications of pancreatitis?
Definition
1) systemic complications
2) Hypoxia
3) Cardiac complications
4) Metabolic complications
5) GI bleeding
6) Pancreatic infection and abscess
7) fluid collection and pseudocysts
Term
When does an infection most commonly occur with acute pancreatitis?
Definition
2nd to 3rd week of attack
Term
What is the most common symptom of pseudocysts?
Definition
pain
Term
How much alcohol and what volume is required for chronic pancreatitis?
Definition
1) 5 yrs of alcohol intake
2) 150 g/day
Term
When is steatorrhea seen?
Definition
when 90% of exocrine function is destroyed
Supporting users have an ad free experience!