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