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Pancreatitis - Coggle Diagram
Pancreatitis
etiologies
biliary tract disease
ischemia
infection
FHV
FIP
FCV
toxoplasmosis
toxins
organophosphates
zinc
GI disease
ductal obstruction
trauma
hyperlipidemia/hypertrig
obestiy
endocrine diseases
hypoT4
Cushing's
DKA
physio review
premature activation of zymogens
fusion of lysosomal enzymes and zymogen granules within acinar cells
autodigestion of pancreas
inflammation
neutrophils
lymphocytes
free radicals
fat saponification
pancreatic necrosis
trypsin
elastase
lipase
phospholipase A
acute
function can return to normal
chronic
irreversible destruction
fibrosis
atrophy
diagnosis
hematology
anemia
+/- hemoconcentration
leukocytosis
+/- leukopenia
chemistry
:arrow_up:
ALT, AST
ALP
bilirubin
glucose
cholesterol
:arrow_down:
Ca
albumin
imaging
US
more sensitive in dogs
enlarged
irregular
hyperechoice
adbominal effusion
+/- gall bladder and bile duct distention
biomarkers
serum [pLipase]
most sensitive and specific
:cat: fPLI
:dog: cPLI
Idexx SNAP cPL and fPL
:first_place_medal: histology
acute
neutrophilic and lymphoplasmacytic inflammation
necrosis
hemorrhage
chronic
fibrosis
atrophy
prognosis
complications
DIC
acute renal failure
respiratory failure
myocarditis
pancreatic encephalopathy
in chronic cases
exocrine pancreatic
insufficiency
diabetes mellitus
severity dependent
fatal canine cases
coagulopathy
hypoglycemia
icterus
treatment
supportive
plasma
symptomatic
nutrition
pain relief
fentanyl
buprenorphine
anti-emetics
eliminate inciting agent
history
:cat:
lethargy
weight loss
vomiting
diarrhea
anorexia
PE
dehydration
hypothermia
icterus
fever
abdo pain
abdo mass
:dog:
vomiting
diarrhea
fever
abdo pain
risk factors
:dog:
older age
overweight
yorkie
anti-convulsant meds
TMS med
prior Gi disease
endocrinopathies
high fat meal
slides