Term
| causes of acute pancreatitis: |
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Definition
BEHAVEID:
- Biliary obstruction
- ETOH
- Hypercalcemia
- Abdominal trauma/surgery
- Vascular
- ERCP
- Infection- viral
- Drugs- Thiazides, Furosemide, Corticosteroids, Sulfonamides, Estrogens, ACE-I, Opiates, Acetaminophen, Cisplatin, Erythromycin, Metformin |
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Term
| Drugs that may cause acute pancreatitis: |
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Definition
- Thiazides
- Furosemide
- Corticosteroids
- Sulfonamides
- Estrogens
- ACE-I
- Opiates
- Acetaminophen
- Cisplatin
- Erythromycin
- Metformin |
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Term
| Causes of chronic pancreatitis: |
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Definition
- Chronic alcoholism
- Biliary obstruction-ampula stenosis, tumor
- Hereditary
- Severe malnutrition
- Idiopathic
- Untreated hyperparathyroidism
- Autoimmune 5% |
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Term
| Pneumonic for causes of Pancreatitis: |
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Definition
I GET SMASHED
- Idiopathic
- Gallstones
- Ethanol
- Traumas
- Steroids
- Mumps/Malignancy
- Autoimmune
- Scorpion bite
- Hypercalcemia, Hyperlipidemia
- ERCP
- Drugs |
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Term
| Symptoms of acute pancreatitis: |
|
Definition
TEACHFJGC
- abrupt, steady, severe epigastric abdominal pain, radiates to back, wose with walking and supine, better with sitting and leaning forward
- Hypoactive bowel sounds/ileus
- Tachycardia/shock
- Confusion
- Fever
- Jaundice
- Ascites
- Cullen's sign (around umbillicus)
- Grey Turner's sign- bluish flank |
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Term
| symptoms of chronic pancreatitis: |
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Definition
- persistent or recurrent epigastric and left upper quadrant pain +/- radiation to the back
- Guarding
- Weight loss
- Bulky, foul smelling, greasy stools
- Epigastric mass 10%
- Jaundice 5-10% |
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Term
| Lab findings of acute pancreatitis: |
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Definition
A Little Light Provides Great Guidance Helping Bob Cross Avenues.
- Amylase increased
- Lipase increase
- Leukocytosis (10-30K)
- Proteinuria
- Granular casts
- Glycosuria
- Hyperglycemia
- BUN increased
- Cr increased
- ALT increased, > 150 units/L= biliary |
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Term
| Lab findings of Chronic Pancreatitis: |
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Definition
An Animal Glided Torwards I.
- Amylase may be normal
- Alk phosph and bilirubin may be increased
- Glycosuria +/-
- Triglycerides increased
- IgG4 increased |
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Term
| best test for pancreatitis: |
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Definition
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Term
| Ranson's Criteria for Pancreatitis: |
|
Definition
At Admission: GA LAW
- Glucose > 200
- Age > 55 y/o
- LDH > 350
- AST > 250
- WBC > 16,000
At 48 hours: CHOBBS
- Calcium < 2.0 mmol/L or 8.0 mg/dL
- Hematocrit fall of > 10%
- Oxygen (hypoxemia) PO2 < 60
- BUN increased by 1.8 mmol/L or 5 mg/dL after IV fluid hydration
- Base deficit of > 4mEq/L
- Sequestration of fluids > 6L |
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Term
| Pancreatic Cancer Symptoms: |
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Definition
- Jaundice
- Dull/vague abdominal pain
- Weight loss
- Anorexia/change in taste
- Nausea |
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Term
| PE fndings of Pancreatic Cancer: |
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Definition
- Icterus
- Cachexia
- Temporal Wasting
- Ascites
- Peripheral lymphadenopathy
- Hepatomegaly
- Excoriations from scratching pruritic skin due to jaundice |
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Term
| Pancreatic Cancer is associated with: |
|
Definition
- Smoking
- Alcoholism
- Genetics 5-10%
- Gallstones
- Diabetes Mellitus
- Chronic Pancreatitis
- High fat diet
- Obesity early in life
- Occupational exposure: oil refining, paper manufacturing, chemical industry |
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Term
| Labs to run for pancreatic cancer: |
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Definition
A Bubble Had Total Armor:
- Alkaline phosphate
- Bilirubin
- Hematocrit
- Total Protein
- Amylase |
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Term
|
Definition
- Only indicated in 10-20% of those with lesions less than 5 cm
- surgical resection of the distal antrum of the stomach, first two segments of the duodenum, head of the pancreas, common bile duct, and the gallbladder |
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Term
| Chemo used for pancreatic cancer: |
|
Definition
- Gemcitabine
- Flurouracil
- Leucovorin |
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Term
| Stage IV pancreatic cancer has a __ __ average survival rate. |
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Definition
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Term
| Localized pancreatic cancer has a ___ 5 year survival rate. |
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Definition
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Term
| Regional pancreatic cancer has a __% survival rate. |
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Definition
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Term
| Metastatic Pancreat Cancer has a __% survival rate. |
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Definition
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