Notes in 04_Pancreatitis

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Published	02/10/2024	{{c1::Acute Pancreatitis}} is inflammation of the pancreatic parenchyma, with biochemical associations of increased {{c2::amylase}} and raised {{c2::l…
Published	02/10/2024	Presentation of {{c2::Acute Pancreatitis}}{{c1::Fever}}{{c1::Epigastric Pain that radiates to the back}}  {{c1::Nausea}} and {{c1::vomiting}…
Published	02/10/2024	{{c2::Acute pancreatitis}} can be associated with {{c1::Grey Turner's}} sign i.e. flank bruising and {{c1::Cullen's}} sign i.e. periumbilical bru…
Published	02/10/2024	Causes of Acute Pancreatitis (GET SMASHED):{{c1::Gallstones}} {{c1::Ethanol (Alcohol)}} {{c1::Trauma}} {{c1::Scorpion sting (Tityus trinitatis)}} {{c1…
Published	02/10/2024	Complications of Acute PancreatitisRemembered as {{c1::HDAMN}}{{c1::Haemorrhage}} {{c1::Disseminated intravascular coagulation (DlC)}} {{c1::Acute res…
Published	02/10/2024	Investigations of Acute Pancreatitis [1] Raised serum {{c1::amylase}} and {{c1::lipase}}[2] CRP {{c1::>200}} or persists {{c1::>150}}[…
Published	02/10/2024	In Acute Pancreatitis there is raised serum {{c1::amylase}} and {{c1::lipase}}.
Published	02/10/2024	In Acute Pancreatitis, CRP levels are {{c1::>200}} or persists {{c1::>150}}
Published	02/10/2024	{{c1::Ultrasound scan}} is used to investigate for causes of Acute Pancreatitis.
Published	02/10/2024	{{c1::CT scan}} is used to investigate for complications of Acute Pancreatitis (HDAMN).Remember these as HDAMN: Haemorrhage. Disseminated intrava…
Published	02/10/2024	Treatment of Acute PancreatitisManage underlying cause (e.g. ERCP to remove gallstones)Symptomatic relief by keeping {{c1::nil by mouth}}, {{c1::IV fl…
Published	02/10/2024	{{c1::Chronic Pancreatitis}} occurs when the structural integrity of the pancreas is permanently altered as a direct result of chronic inflammation i.…
Published	02/10/2024	Presentation of Chronic Pancreatitis{{c1::Recurrent epigastric pain}} {{c1::Radiates to the back}}{{c1::Relieved by sitting forward}} {{c1::Worse…
Published	02/10/2024	Causes of Chronic Pancreatitis Remembered as {{c1::CAMP}}{{c1::Cystic fibrosis}} {{c1::Alcohol}} {{c1::Malnourishment (Hypercalcaemia)}} {{c1::Pa…
Published	02/10/2024	Complications of Chronic Pancreatitis{{c1::Pseudocysts}} {{c1::Obstruction (pancreatic)}} {{c1::Diabetes mellitus}} {{c1::Steatorrhoea}}
Published	02/10/2024	Investigations of Chronic Pancreatitis[1] {{c1::Decreased faecal elastase}}[2] {{c1::CT scan}}: shows calcification (may also be seen on abdomina…
Published	02/10/2024	{{c2::CT scan}} and {{c2::abdominal X-ray}} are imaging techniques that may show pancreatic {{c1::calcification}} that occurs due to chronic panc…
Published	02/10/2024	Conservative Management of Chronic Pancreatitis involves {{c1::alcohol cessation}}
Published	02/10/2024	Medical Management of Chronic Pancreatitis {{c1::Analgesia e.g. tramadol}} and {{c1::Pancreatic enzyme replacement therapy}}.
Published	02/10/2024	{{c1::Pancreatic cystic lesions}} are saclike pockets of fluid on or in your pancreas.
Published	02/10/2024	Most common types of Pancreatic cystic lesions are {{c1::Mucinous Cystic Neoplasm (MCN)}} {{c1::Intraductal Papillary Mucinous Neoplasm (IPMN)}}
Published	02/10/2024	High Risk Features of Pancreatic Cysts{{c1::Jaundice}} Diameter of Main Pancreatic Duct {{c1::>10mm}} Enhancing nodule size {{c1::>5mm}} within …
Published	02/10/2024	Management of Pancreatic cysts{{c1::Surgery}} if high risk features are present{{c1::Yearly investigations}} if no high risk features but worrisome ri…
Published	02/10/2024	Biomarkers of Cystic fluid{{c1::DNA markers}} {{c1::Carcinoembryonic Antigen (CEA)}} {{c1::Amylase}}
Published	02/10/2024	Amylase levels are usually {{c1::high}} in {{c2::pseudocysts}} and {{c1::low}} in {{c2::tumors}}
Published	02/10/2024	Acute as well as chronic pancreatitis often correlates with {{c1::hyperglycemia}} in patients
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