Acute pancreatitis causes: Difference between revisions
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{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{RT}} | ||
==Overview== | == Overview == | ||
==Causes== | == Causes == | ||
===Common Causes== | === Common Causes === | ||
A common [[mnemonic]] for the causes of pancreatitis spells "I get smashed", an allusion to heavy drinking (one of the many causes): | A common [[mnemonic]] for the causes of pancreatitis spells "I get smashed", an allusion to heavy drinking (one of the many causes): | ||
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===Causes by demographic=== | === Causes by demographic === | ||
The most common causes of pancreatitis, are as follows : | The most common causes of pancreatitis, are as follows : | ||
* Western countries - chronic [[alcoholism\\ and gallstones accounting for more than 85% of all cases | * Western countries - chronic [[alcoholism\\ and gallstones accounting for more than 85% of all cases | ||
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* Adolescents and young adults - [[mumps]] | * Adolescents and young adults - [[mumps]] | ||
=== Complete differential diagnosis of causes of pancreatitis in alphabetic order=== | === Complete differential diagnosis of causes of pancreatitis in alphabetic order === | ||
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
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*[[Viral infection]]s such as [[mumps]] | *[[Viral infection]]s such as [[mumps]] | ||
==References== | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 16:10, 16 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Causes
Common Causes
A common mnemonic for the causes of pancreatitis spells "I get smashed", an allusion to heavy drinking (one of the many causes):
- I - idiopathic
- G - gallstone. Gallstones that travel down the common bile duct and which subsequently get stuck in the Ampulla of Vater can cause obstruction in the outflow of pancreatic juices from the pancreas into the duodenum. The backflow of these digestive juices causes lysis (dissolving) of pancreatic cells and subsequent pancreatitis.
- E - ethanol (alcohol)
- T - trauma
- S - steroids
- M - mumps (paramyxovirus) and other viruses (Epstein-Barr virus, Cytomegalovirus)
- A - autoimmune disease (Polyarteritis nodosa, Systemic lupus erythematosus)
- S - scorpion sting - Tityus Trinitatis - Trinidad/ snake bite
- H - hypercalcemia, hyperlipidemia/hypertriglyceridemia and hypothermia
- E - ERCP (Endoscopic Retrograde Cholangio-Pancreatography - a procedure that combines endoscopy and fluoroscopy)
- D - drugs (SAND - steroids & sulfonamides, azathioprine, NSAIDS, diuretics such as furosemide and thiazides, & didanosine) and duodenal ulcers
Causes by Organ System
Causes in Alphabetical Order
Causes by demographic
The most common causes of pancreatitis, are as follows :
- Western countries - chronic [[alcoholism\\ and gallstones accounting for more than 85% of all cases
- Eastern countries - gallstones
- Children - trauma
- Adolescents and young adults - mumps
Complete differential diagnosis of causes of pancreatitis in alphabetic order
In alphabetical order. [1] [2]
- Acute gestational fatty liver
- Alcoholism
- Aminoaciduria
- Ascarides
- Autoimmune pancreatitis
- Bacterial infections
- Blunt Trauma
- Cholelithiasis
- Crohn's Disease
- Cystic fibrosis
- Duodenal diverticulum
- Drugs
- AIDS drugs such as DDI and Pentamidine
- Chemotherapeutic agents L-asparaginase and azathioprine
- Diuretics such as furosemide and hydrochlorothiazide
- Estrogen
- ERCP
- Fever
- Fungal infections
- Hemochromatosis
- Hereditary pancreatitis
- Hypercalcemia
- Hypertriglyceridemia
- Hypotension
- Leukocytosis
- Necrotizing vascular angiitis
- Pancreatic cysts
- Pancreas divisum
- Partial pancreas resection
- Parasitic infections
- Penetrating trauma
- Penetrating gastrointestinal ulcer
- Porphyrias
- Postoperative
- Posttransplantation
- Renal failure
- Stenosis of pancreatic ducts
- Systemic Lupus Erythematosus
- Thrombotic thrombocytopenic purpura
- Viral infections such as mumps