Pancreatitis

• What is acute pancreatitis?


  Inflammation of the pancreas
• What mnemonic is used to remember the causes of pancreatitis?

  GET SMASHED
• What does GET SMASHED stand for?


  Gallstones

  Ethanol

  Trauma

  Steroids

  Mumps

  Autoimmune

  Scorpion venom

  Hypercalcaemia

  ERCP

  Drugs
• How may pancreatitis present?


  Abdo pain

  Nausea

  Vomiting

  Jaundice
• What are some features of pancreatitis seen during an examination?

  Tachypnoea

  Abdo tenderness

  Guarding

  Hypotension

  Abdo pain radiating to back
• What diagnostic tests are done for pancreatitis?


  Amylase

  Lipase

  CRP

  FBC

  LFTs
• Which enzyme test is more sensitive for pancreatitis?


  Serum lipase
• What are some DDx for pancreatitis?


  Hepatitis

  Biliary tract pathology

  Bowel obstruction

  Hernia
• What is the general management for pancreatitis?


  Analgesia

  Anti-emetics

  NG tube

  Fluid resus
• What are some late complications of pancreatitis?


  Pancreatic necrosis

  Ascites

  Retroperitoneal haemorrhage
• What score is used to predict the severity of pancreatitis?

  Modified Glasgow Score
• What is taken into account in the modified glasgow score?

  PaO2

  Age

  Neutrophilia

  Calcium

  Renal funtion

  Enzymes

  Albumin

  Sugar
• What is used to help remember what is included in the modified glasgow score?

  PANCREAS