Pancreatitis: Etiologies, Symptoms, and Treatment

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What is the leading cause of GI hospitalizations in the US?

Chronic pancreatitis

Pancreatic juice secretion

Acute pancreatitis (correct)

Alcohol consumption

Which cells are of interest in the exocrine functions of the pancreas?

Endocrine cells

Beta cells

Acinar cells (correct)

Ductal cells

How much alkaline fluid does the pancreas secrete per day?

5-7L

3-5L

1-2L

1.5-3L (correct)

What are the two main functions of the pancreas?

Exocrine and endocrine Signup and view all the answers

What is the pH of the alkaline fluid secreted by the pancreas?

pH>8 Signup and view all the answers

Which organ is located behind the pancreas?

Stomach Signup and view all the answers

What are the common diagnostic markers for acute pancreatitis?

Pancreatic enzymes Signup and view all the answers

What is the overall fatality rate for acute pancreatitis?

3-5% Signup and view all the answers

Which medication is NOT listed as a known cause of medication-induced acute pancreatitis?

Metformin Signup and view all the answers

What is the preferred imaging study for diagnosing acute pancreatitis in ALL patients?

Trans-abdominal US Signup and view all the answers

Which symptom is NOT commonly associated with chronic pancreatitis?

Jaundice Signup and view all the answers

What is the initial fluid replacement rate recommended for managing acute pancreatitis according to the 2013 Guideline?

200-500 ml/hr Signup and view all the answers

Which of the following statements about antibiotic prophylaxis for acute pancreatitis is true?

It may increase the risk of superimposed fungal infection and antimicrobial resistance. Signup and view all the answers

Which treatment option is NOT recommended for managing chronic pancreatitis?

High-dose opioid therapy Signup and view all the answers

What surgery may be considered for patients with symptoms refractory to pharmacologic treatment for chronic pancreatitis?

Pancreatectomy Signup and view all the answers

Which vital signs are consistent with acute pancreatitis?

Temperature 97°F, BP 86/54 mmHg, HR 102 beats/min, RR 26 breaths/min Signup and view all the answers

What laboratory values should you order to diagnose this patient with acute pancreatitis?

Lipase and triglyceride levels Signup and view all the answers

What imaging do you want to order for this patient?

CT scan of the abdomen Signup and view all the answers

Can you diagnose the patient with acute pancreatitis based on the provided information?

Yes, as the CT scan shows evidence of acute pancreatitis Signup and view all the answers

What do you think is the etiology of this patient’s acute pancreatitis?

Alcohol consumption Signup and view all the answers

Which reported symptoms are consistent with acute pancreatitis?

Abdominal pain, nausea, vomiting, shortness of breath Signup and view all the answers

What laboratory values should you order to determine the etiology of acute pancreatitis?

Triglyceride levels and urine alcohol levels Signup and view all the answers

Which items from the physical exam are consistent with acute pancreatitis?

LUQ pain, distended abdomen, reduced bowel sounds Signup and view all the answers

Are these correct to verify?

No, Meropenem should not be ordered. Signup and view all the answers