Pancreatitis: Etiologies, Symptoms, and Treatment
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Questions and Answers

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?

    <p>Exocrine and endocrine</p> Signup and view all the answers

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

    <p>pH&gt;8</p> Signup and view all the answers

    Which organ is located behind the pancreas?

    <p>Stomach</p> Signup and view all the answers

    What are the common diagnostic markers for acute pancreatitis?

    <p>Pancreatic enzymes</p> Signup and view all the answers

    What is the overall fatality rate for acute pancreatitis?

    <p>3-5%</p> Signup and view all the answers

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

    <p>Metformin</p> Signup and view all the answers

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

    <p>Trans-abdominal US</p> Signup and view all the answers

    Which symptom is NOT commonly associated with chronic pancreatitis?

    <p>Jaundice</p> Signup and view all the answers

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

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

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

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

    Which treatment option is NOT recommended for managing chronic pancreatitis?

    <p>High-dose opioid therapy</p> Signup and view all the answers

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

    <p>Pancreatectomy</p> Signup and view all the answers

    Which vital signs are consistent with acute pancreatitis?

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

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

    <p>Lipase and triglyceride levels</p> Signup and view all the answers

    What imaging do you want to order for this patient?

    <p>CT scan of the abdomen</p> Signup and view all the answers

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

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

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

    <p>Alcohol consumption</p> Signup and view all the answers

    Which reported symptoms are consistent with acute pancreatitis?

    <p>Abdominal pain, nausea, vomiting, shortness of breath</p> Signup and view all the answers

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

    <p>Triglyceride levels and urine alcohol levels</p> Signup and view all the answers

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

    <p><strong>LUQ</strong> pain, distended abdomen, reduced bowel sounds</p> Signup and view all the answers

    Are these correct to verify?

    <p>No, Meropenem should not be ordered.</p> Signup and view all the answers

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