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Question: Pancreatitis

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Which of the following is an uncommon cause of pancreatitis in pediatric patients?

pemsou5_wp • October 6, 2020

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  1. Kelly October 6, 2020 - 9:47 pm Reply

    E) Scorpion envenomation
    Biliary pathology, specifically gallstones, and alcohol abuse are the most common causes of pancreatitis in adults. In children, biliary pathology, medications (especially L-aspariginase, valproic acid, and prednisone), genetic causes (specific gene mutations, cystic fibrosis, hypertriglyceridemia), and blunt abdominal trauma are common causes. While scorpion envenomation is associated with pancreatitis, it is not a common cause in adults or children. Clinicians should maintain a high index of suspicion for non-accidental trauma in unexplained pancreatitis of young children. Pancreatic pseudocysts develop as a complication of pancreatitis in 10-20% of patients, especially those with trauma as etiology, at 4 weeks or more after the acute pancreatitis episode.

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