Term
| What is a common complication of pancreatitis? |
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Definition
| fluid collection around pancreas during acute inflammation |
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Term
| What accounts for 70-80% of acute pancreatitis? |
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Definition
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Term
| 10 etiologies of acute pancreatitis? |
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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 |
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Term
| Most common symptom of acute pancreatitis? |
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Definition
| Pain in epigastrium that radiates towards the back-very severe |
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Term
| What other symptoms are common with acute pancreatitis? |
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Definition
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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 |
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Term
| What lab test is more sensitive and specific for pancreatitis? |
|
Definition
serum lipase
*>3X normal associated with high sensitivity/specificity |
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Term
| What finding is found on ultrasound in 2/3 people with acute pancreatitis? |
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Definition
1) changes in echotexture
2) peripancreatic fluid collections |
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Term
| Most accurate imaging study for pancreatitis? |
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Definition
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Term
| 3/4 of people with pancreatitis have what prognosis? |
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Definition
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Term
| most of the morbidity and mortality with pancreatitis is confined to whom? |
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Definition
| those with necrotizing pancreatitis |
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Term
| What is the main treatment for severe acute pancreatitis? |
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Definition
| prompt fluid replacement (may take 5-10 liters/day) |
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Term
| What allows for accurate measure of fluid needs? |
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Definition
Hemoconcentration marker of third space fluid loss
*Central Venous Pressure and pulmonary capillary wedge pressure are accurate measurements of fluid needs. |
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Term
| What are the most common causes of death in the first week of illness with acute pancreatitis? |
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Definition
1) shock
2) ARDS
3) multiorgan failure |
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Term
| what is the most common cause of hypocalcemia as a metabolic complication of pancreatitis? |
|
Definition
hypoalbuminemia
*replacement usually not needed |
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Term
| What are 7 complications of pancreatitis? |
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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 |
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Term
| When does an infection most commonly occur with acute pancreatitis? |
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Definition
| 2nd to 3rd week of attack |
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Term
| What is the most common symptom of pseudocysts? |
|
Definition
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Term
| How much alcohol and what volume is required for chronic pancreatitis? |
|
Definition
1) 5 yrs of alcohol intake
2) 150 g/day |
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Term
| When is steatorrhea seen? |
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Definition
| when 90% of exocrine function is destroyed |
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