Acute pancreatitis: Difference between revisions
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This is the sort of thing they like to ask so learn it. | This is the sort of thing they like to ask so learn it. | ||
===Clinical Features=== | ===Clinical Features=== | ||
The main one is '''epigastric pain radiating to the back'''. [[Vomiting]] and sitting forward to relieve pain are also important. Remember that '''signs can be mild''' even in serious disease. [[Tachycardia]], [[jaundice]], [[pallor]], [[ileus]], rigid abdomen, [[abdominal tenderness]], periumbilical/flank discolouration (Cullen's sign). | |||
===Investigations=== | ===Investigations=== | ||
===Management=== | ===Management=== | ||
===Prognosis=== | ===Prognosis=== | ||
Revision as of 14:16, 30 March 2010
Definition
Inflammation of the pancreas occuring over hours.
Epidemiology
It is important as it has a mortality of 12% and is common in people who drink a lot.
Pathophysiology
The big two are gallstones (38%)and alcohol (35%). However, the following is a mnemonic to remember the causes:
- Gallstones
- Ethanol
- Trauma
- Steroids
- Mumps
- Autoimmune
- Scorpion sting
- Hyplidaemia/hypercalcaemia/hypothermia
- ERCP
- Drugs
This is the sort of thing they like to ask so learn it.
Clinical Features
The main one is epigastric pain radiating to the back. Vomiting and sitting forward to relieve pain are also important. Remember that signs can be mild even in serious disease. Tachycardia, jaundice, pallor, ileus, rigid abdomen, abdominal tenderness, periumbilical/flank discolouration (Cullen's sign).