Pancreatitis
Acute Pancreatitis Risk Factors:
causes:
smoking
-
Scorpion Venom Uncontrolled DM
- -
obesity Anabolic steroids Cystic Fibrosis
-
- -
gene.
Chronic Alcoholism
Autoimmunity (1qG4)
-
-
Gallstones -Mumps, CMV, EBU Iiatrogenic Scorpion/venom
-
Hypercalcemia Gallstones Mumps
-
Drugs (e.g. Tamaxifen, Furosemide, Oestrogen) Ethanol Autoimmune
-
Trauma Steroids
·
Gallstones is mostcommon cause.
Hypercalcaemia
They cause Common Bile Duct/Pancretic Duct
Obstruction, ERC9(90st)
to bile/
leading enzyme and
reflux
:.autodigestion. Drugs
·
Chronic Alcoholism is 2nd common cause.
most
can cause duct blockage increased secretions toxicity all
leading to
autodigestion.
+ + -
Diagnosis:
1. Abdo Pain:
epigastric, radiates to back/(shoulder, share/constant, nausea/ vomiting,
relieved when bending forward, 18/10 severity.
2. Raised
Enzymes:raised serum Amylase and lipase.
3.
Imaging:ContrastCTor MRI.
only when uncertain or rule differential.
out
Clueing signs:Jaundice sugg. Gallstones, Cachexia alcohol abuse,
·
suga.
Extreme muscle hypertrophy sugg. anabolics.
Differentials:Pneumonia, pericarditis, aortic
·
aneurysm,
Upper Gl ulceration/obstruction/ischaemia, etc.
Acute Pancreatitis Complications:
Management:
Organ Failures
-
underlying and supportpatient:
Treat
Biliary Obstruction/ Jaundice, effects
·
cause
-
mass
~
-
Small Bowel obstruction
1. to 95% sats.
Oxygenation
2. Fluid resusitation to relieve shock.
3. Pain/nausea relief.
·
Autoimmune Pancreatitis
4.Enteral or Parenteral nutrition. can be treated with
Steroid (e.g. Prednisolonel.
·
usually no antibiotics needed despite infection markers.
Antibiotics for Infected necrotic pancreatitis.
given
Acute Pancreatitis Risk Factors:
causes:
smoking
-
Scorpion Venom Uncontrolled DM
- -
obesity Anabolic steroids Cystic Fibrosis
-
- -
gene.
Chronic Alcoholism
Autoimmunity (1qG4)
-
-
Gallstones -Mumps, CMV, EBU Iiatrogenic Scorpion/venom
-
Hypercalcemia Gallstones Mumps
-
Drugs (e.g. Tamaxifen, Furosemide, Oestrogen) Ethanol Autoimmune
-
Trauma Steroids
·
Gallstones is mostcommon cause.
Hypercalcaemia
They cause Common Bile Duct/Pancretic Duct
Obstruction, ERC9(90st)
to bile/
leading enzyme and
reflux
:.autodigestion. Drugs
·
Chronic Alcoholism is 2nd common cause.
most
can cause duct blockage increased secretions toxicity all
leading to
autodigestion.
+ + -
Diagnosis:
1. Abdo Pain:
epigastric, radiates to back/(shoulder, share/constant, nausea/ vomiting,
relieved when bending forward, 18/10 severity.
2. Raised
Enzymes:raised serum Amylase and lipase.
3.
Imaging:ContrastCTor MRI.
only when uncertain or rule differential.
out
Clueing signs:Jaundice sugg. Gallstones, Cachexia alcohol abuse,
·
suga.
Extreme muscle hypertrophy sugg. anabolics.
Differentials:Pneumonia, pericarditis, aortic
·
aneurysm,
Upper Gl ulceration/obstruction/ischaemia, etc.
Acute Pancreatitis Complications:
Management:
Organ Failures
-
underlying and supportpatient:
Treat
Biliary Obstruction/ Jaundice, effects
·
cause
-
mass
~
-
Small Bowel obstruction
1. to 95% sats.
Oxygenation
2. Fluid resusitation to relieve shock.
3. Pain/nausea relief.
·
Autoimmune Pancreatitis
4.Enteral or Parenteral nutrition. can be treated with
Steroid (e.g. Prednisolonel.
·
usually no antibiotics needed despite infection markers.
Antibiotics for Infected necrotic pancreatitis.
given
