Severity assessment in acute pancreatitis — Flashcards

Flashcard 1: Chronic pancreatitis is most often secondary to recurrent acute _____

Answer: pancreatitis

Flashcard 2: Which pancreatic enzyme (amylase or lipase) is more specific for acute pancreatitis?_____

Answer: Lipase

Flashcard 3: Complications of acute pancreatitis include _____ due to activation of coagulation factors

Answer: DIC

Flashcard 4: What is the prognosis of pancreatic adenocarcinoma? _____

Answer: Very poor (1-year survival < 10%)

Flashcard 5: Acute pancreatitis may present with _____-calcemia/magnesemia

Answer: hypo

Flashcard 6: Disseminated Intravascular Coagulation (DIC) is almost always secondary to another disease, which may be remembered with "STOP Making New Thrombi" S:_____, _____ T: Trauma O: *Obstetric complications P: Pancreatitis (acute) Making: Malignancy New: Nephrotic syndrome Thrombi: Transfusion

Answer: Sepsis

Extra:   * Pancreas shaped hair= Pancreatitis -> DIC Watch Acquired Coagulation Defects [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-blood-coagulation/videos/medical-pathophysiology-blood-and-coagulation-coagulopathies-and-platelet-disorders-acquired-coagulation-defects?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/hematology-and-oncology/videos/coagulation-and-fibrinolysis?index=9] https://onlinemeded.org/spa/heme-onc/hemostasis/acquire?ref=anki 

Flashcard 7: In addition to parotitis, mumps may also present with _____, pancreatitis, and aseptic meningitis

Answer: orchitis

Extra:  https://onlinemeded.org/spa/pediatrics/peds-infectious-rashes/acquire?ref=anki  

Flashcard 8: Parotitis can present with elevated serum _____

Answer: amylase

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 9: The causes of acute pancreatitis may be remembered with the mnemonic "I GET PP SMASHED": [https://www.ankingmed.com/congratulations] I: _____ G: Gallstones E: Ethanol T: Trauma (e.g. automobile accident in children - seatbelt injury) P: Posterior duodenal ulcer rupture P: Pancreas Divisum S: Steroids M: Mumps A: Autoimmune disease S: Scorpion sting H: HYPERcalcemia or Hypertriglyceridemia/Hyperchylomicronemia E: ERCP (endoscopic retrograde cholangiopancreatography) D: Drugs (e.g. sulfa drugs, NRTIs, protease inhibitors)

Answer: Idiopathic

Extra:   Watch Acute & Chronic Pancreatitis [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-acute-and-chronic-pancreatitis?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=3] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki  

Flashcard 10: What age group is most commonly affected by pancreatic adenocarcinoma? _____

Answer: Elderly

Extra:   * Old man with gray hair and gray beard Watch Pancreatic Cancer & Islet Cell Tumors [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pediatrics-hepatobiliary/videos/medical-pathophysiology-hepatobiliary-pancreatic-disease-pancreatic-cancer-and-islet-cell-tumors?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/pancreatic-and-biliary-pathology?index=5] https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki Atlas: