Pancreatitis

Question 1

Diagnosis of pancreatitis is based of having 2 of what 3 things?

Answer 1

abdo pain
raised amylase
features on imaging

Question 2

Investigation for pancreatitis?

Answer 2

CT first

also do US to pick up gallstones

Question 3

Why may amylase actually be normal in approx 5% of patients?

Answer 3

pancreas is so dysfunctional it doesn’t make any amylase at all

Question 4

Assessment tool for severity?

Answer 4

Glasgow Imrie score

PANCREAS

Question 5

Blood tests in pancreatitis?

Answer 5

amylase, ALT, CRP

Question 6

What resp complication may occur?

Answer 6

right pleural effusion, can lead to pneumonia is infected

Question 7

Treatment??

Answer 7

fluids eg hartmans
no benefit of Abx
ERCP if gallstone,may need surgery

Question 8

Commonest late complication?

Answer 8

haemorrhage and portal hypertension