22 Acute Pancreatitis


Symptoms and Pathogenesis

Diagnosis

  • dark edges around pancreas (edema)

Causes

Stones

  • also abnormal LFT

Alcohol

Trauma

Infection

Drugs

  • valproate
  • didanosine (anti-heptatitis)

Toxins

Autoimmune

  • steroids: autoimmune disease

Hypercalcemia

Hypertriglyceridemia

ERCP

  • irritate pancreatic duct: pancreatitis

Duodenal Ulcers

Treatment

  • high or low temp

Complications

DIC

  • all of the clotting factors consumed because so much clotting going on
  • diffused bleeding

ARDS

Pseudocyst

Abscess

Fat Necrosis

Systemic