Biliary System and Pancreas Conditions Concepts

Flashcards for review of biliary system and pancreas conditions.

Cholecystitis

Inflammation of the gallbladder, can be acute or chronic.

Cholelithiasis

Gallstones within the gallbladder obstructing the common bile and cystic ducts.

Cholecystitis: Lab Values

Increased WBC, Alkaline phosphatase, AST, LDH, Serum bilirubin levels.

Cholecystitis: Priority Collaborative Problems

Acute or persistent pain and weight loss.

Acute Pancreatitis

Life-threatening inflammation of the pancreas.

Complications of Acute Pancreatitis

Hypovolemia, hemorrhage, Grey Turners sign, DIC, Cullens sign, Acute kidney failure, Paralytic ileus, hypovolemic or septic shock, Multisystem Organ failure, Diabetes.

Acute Pancreatitis: Signs and Symptoms

Severe abdominal pain, often mid-epigastric or LUQ, and jaundice.

Acute Pancreatitis: Lab Values

Amylase, Lipase, Serum bilirubin and alkaline phosphatase, ALT, WBC, ESR

Acute Pancreatitis: Priority Problems

Severe acute pain and weight loss.

Chronic Pancreatitis

Progressive destructive disease of pancreas characterized by remissions and exacerbations

Chronic Pancreatitis: Signs and Symptoms

Abdominal pain, ascites, respiratory compromise, steatorrhea, weight loss, jaundice, dark urine, polyuria, polydipsia, polyphagia

Pancreatic Cancer

Difficult to diagnose, treatment has limited results, low 5-year survival rates, VTE is a common complication.

Pancreatic Cancer: Signs and Symptoms

Slow, vague presentation; jaundice (late), weight loss, anorexia, nausea, vomiting

Whipple Procedure

Radical pancreaticoduodenectomy involving resection of the proximal pancreas, adjoining duodenum, distal portion of the stomach, and distal portion of the common bile duct