acute pacreatitis - ronaldo - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: acute pacreatitis - ronaldo (/showthread.php?tid=205085)

acute pacreatitis - ronaldo - ArchivalUser - 07-28-2007 whats the timeline of its complications? whats the role of antibiiotics? will u give antacid prophylaxis or not? 0 - ArchivalUser - 07-28-2007 1. - Phlegmon-Inflamed Pancreas -> Occurs 48hrs of on‌set = Conservative Mx - Necrosis (Turner & Cullens Sign) -> 2 wks from On‌set = Surgical Debrid. - Pseudocyts -> Occurs 2- 4 wks After Acute or Chronic Pancreatitis -> If ASx & less 5 cm = Observe -> If Sx (Pain, Fistula, Rupture or Incr. in Size) & less 5 cm = Drain -> If > 5cm & > 1 mo there is danger of Rupture = CT Guided Surg. Remo . - Abscess -> 4-6 wks from on‌set = CT guided Aspiration 2. Ab Use “ To Decr. Risk & Severity of Hemorr. & Infection 3. I don't think so 0 - ArchivalUser - 07-28-2007 yeah i agree with doyoudig one thing the tx for pseudocysts...Tx with drianage only afetr 6 weeks of pesence 0 - ArchivalUser - 07-28-2007 4 weeks...pseudocyst acute fluid collection...first week pancreatic necrosis 1-2 weeks intraabdominal infection 1-2 weeks role of antibiotic is controversial...no role of prophylaxis....if proven to be infected by CT guided aspiration...imipenem is usually preferred antacid prophylaxis is usually given 0 - ArchivalUser - 07-28-2007 thx guys..... imipenem also used if CT shows more than 30% necrosis 0 - ArchivalUser - 07-28-2007 srrryyyy.....anatcid prophylaxis is usually not given 0 - ArchivalUser - 07-28-2007 1.necrotizing pancreas - 2 wks of onset. pt will be very sick(eg.shock,multiorgan failure) treatment-surgery(esp if infected),prophylactic imipenam if >30% necrosis 2.pseudocyst - after 1 to 4 wks. suspect in pt who responded initially again goes into fever,raising amylase. treat-internal drainage eg.thro' gastrostomy if more than 6 cm,more than 6 wks. 3.abscess - after 4 to 6 weeks. fever,leukocytosis,TENDER EPIGASTRIC MASS. treat-external drainage-CT guided..complication is splenic vein thrombosis antacid? no idea 0 - ArchivalUser - 07-28-2007 thx guys