Differential diagnosis for Epigastric pain
Peptic ulcer disease (most common reason for epigastric pain)
Acute cholycystitis
Acute pancreatitis
Chronic pancreatitis
Hemorrhagic pancreatitis
Phlegmonous pancreatitis
Pseudocyst
Pancreatic carcinoma
What is the most common reason for ep...
SONO 117 Hemodynamics
Differential diagnosis for Epigastric pain - Peptic ulcer disease (most common reason
for epigastric pain)
Acute cholecystitis
Acute pancreatitis
Chronic pancreatitis
Hemorrhagic pancreatitis
Phlegmonous pancreatitis
Pseudocyst
Pancreatic carcinoma
What is the most common reason for epigastric pain? - Peptic ulcer disease
Increased amylase and lipase are indicative of ________? - pancreatitis
Lab Values: Acute Pancreatitis - high amylase and increasing lipase
Lab Values: Chronic Pancreatitis - higher lipase than amylase but both elevated
Inflammation of pancreas causes - Most common cause is biliary tract disease.
Alcohol abuse
PUD
Trauma
Pregnancy
Drug use
Infectious agents
most common cause of inflammation of pancreas - biliary tract disease
Acute Pancreatitis: the result of damage to the ________ ______? - acinar cells
Acute Pancreatitis: When damage occurs ________ _______ are spilled out and
_________ occurs. - pancreatic enzymes
inflammation
What lab values increase with acute pancreatitis? - amylase
lipase
leukocytosis
Physical signs of acute pancreatitis - sudden sever onset with nausea, pain, and
distention of abdomen.
who is acute pancreatitis more common in? - men
, Complications of Acute Pancreatitis - Pseudocyst
Phlegmon
Peritonitis
Hemorrhage
Obstruction of bowel
Obstruction of hepatic ducts
Most sever cases can result in heart, lung, or liver failure and even death
Treatment for Acute Pancreatitis - In many cases there is no treatment
IV fluid to keep the patient hydrated
TPN treatment (IV nutrition) may be needed for 3-6 weeks to give the pancreas time to
heal
if gallstones are the cause a cholecystectomy is indicated
IV antibiotics if infection occurs
If there is a hemorrhage of the
pseudocyst or gland surgery may be indicated to drain the fluid
Sonographic appearance of acute pancreatitis - enlarged hypoechoic gland
Chronic Pancreatitis: results from recurrent bouts of ______ _______. - acute
pancreatitis
Chronic Pancreatitis: Continuous damage to the pancreas will cause ___________ and
_________ ________ _________. This can result in a _________ ________
_________. - fibrosis
parenchyma cell death
nonfunctioning pancreas
Chronic pancreatitis is more common in? - men
Chronic pancreatitis is caused by ______, ______% of the time. - alcoholism
70%
Physical symptoms of chronic pancreatitis. - Often non symptomatic as the organ fails
to function
Can have bouts of pain radiating to the back, nausea, vomiting, jaundice. Pain after a
meal, if a patient has chronic pancreas pain it can be debilitating.
Complications of Chronic Pancreatitis - Diabetes
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