acute pacreatitis - ronaldo

[ArchivalUser]

whats the timeline of its complications?

whats the role of antibiiotics?

will u give antacid prophylaxis or not?

[ArchivalUser]

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

[ArchivalUser]

yeah i agree with doyoudig
one thing
the tx for pseudocysts...Tx with drianage only afetr 6 weeks of pesence

[ArchivalUser]

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

[ArchivalUser]

thx guys.....

imipenem also used if CT shows more than 30% necrosis

[ArchivalUser]

srrryyyy.....anatcid prophylaxis is usually not given

[ArchivalUser]

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

[ArchivalUser]

thx guys