Pancreatic Disorders

Acute Pancreatitis

Causes = G.E.T.   S.M.A.S.H.E.D.

Constant, upper abdomen pain (usually epigastric)

Alleviated with leaning forward 

Tx: Rest pancreas with fluids, pain management, NPO

(Beware of complications like pancreatic pseudocyst afterwards)

YOU HAVE TO MEMORIZE RANSON'S CRITERIA

Chronic Pancreatitis

Abdominal Xray shows **CHAIN OF LAKE** calcifications

Tx: Enzyme replacement, pain management

Pancreatic Carcinoma

****PAINLESS JAUNDICE****

Painless jaundice due to backed up of conjugated bilirubin from a mass on the HEAD of the pancreas causing biliary tree obstruction

Pruritis due to increase in bile salts

*Cancer marker = CA 19-9*

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