Abisheganaden, J. Sin Fai Lam, K., Chew, L. (1995) Medicine Journal, 36 (5), 487-490.
1. Pleuropulmonary complications of acute pancreatitis include (multiple answers):
2. Pleural effusions associated with pancreatitis are most often found on which side?
3. What percentage of pancreatitis patients examined radiologically are found to have associated pleural effusions?
4. Pleural fluid amylase is elevated only in pancreatitis, ruptured esophagus, and malignant pleural effusions due to bronchogenic and pancreatic carcinoma.
5. There is no clear-cut explanation for the formation of pleural effusions in pancreatitis.
6. Which of the following are theories to explain pancreatitis-associated pleural effusion (multiple answers):
7. X-ray examination of the chest can be an aid in diagnosing pancreatitis.
8. If pancreatitis is suspected and a pleural effusion is present, examining a thoracentesis fluid sample for amylase content and comparing it to a simultaneously collected blood serum specimen is not useful.
9. Pleural effusion amylase is of salivary origin (rather than pancreatic) in esophageal rupture and bronchogenic carcinoma.
10. Bonus: How would you interpret the following chest x-ray?