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GI and Nutrition > 2.4.3 Pancreatitis > Flashcards

2.4.3 Pancreatitis Flashcards

1
Q

What is the broad mechanism of pancreatitis?

A
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2
Q

Chronic pancreatitis is associated with what pain?

A

Left side pain that radiates to the back

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3
Q

Is chronic pancreatitis associated with high serum amylase and lipase?

A

NO

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4
Q

Why can acute pancreatitis be associated with hypoglycemia?

A

Islet of langerhan cells - will discharge insulin and lower blood glucose levels

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5
Q

What is different about the left side of this image vs the right?

A

Left side - fat cell without outlines - calcifications are blue

RIght side - normal

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6
Q

Microvascular leakage and endothelial injury will lead to what in pancreatitis?

A

Microvascular leakage - edema and ascities

Endothelial injury - thrombosis and DIC

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7
Q

What is pancreatitis?

A

Inflammation of the pancreas

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8
Q

How can pancreatitis relate to calcium levels?

A

Pancreatitis will be associated with hypocalcemia - due to calcium depositing in the necrotic pancreatic tissue

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9
Q

What sphincter allows for things to flow from the pancreas to duodenum?

A

Sphincter of oddi

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10
Q

What are some important characteristics to remember in chronic pancreatitis?

A
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11
Q

What is this an image of?

A

chronic pancreatitis

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12
Q

What are the white specks on this image?

A

White specks of calcium

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13
Q

What are some complications associated with acute pancreatitis?

A

Ascites containing enzymes

Paralytic ileus

DIC-ARDS-shock

Infection-pancreatic abscess

Psuedocyst of the pancreas

Chronic pancreatitis

Secondary diabetes

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14
Q

What is this an image of?

A

Acute pancreatitis

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15
Q

What are the important lab findings associated with pancreatitis?

A

Hypocalcemia is a sign of bad prognosis

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16
Q

Answer

A

A

A

C

C

A

B

17
Q

What will cause the fat necrosis associated with pancreatitis?

A

Activation of lipolytic enzymes

18
Q

What is this an image of?

A

Acute pancreatitis - associated hemorrhage

19
Q

What is this an image of?

A

Acute pancreatitis - fat necrosis right side

Inflammed pancreas left side

20
Q

What is the main culprit of chronic pancreatitis?

A

Alcohol

21
Q

What are the basic lab findings associated with acute pancreatitis?

A

Elevated amylase and lipase

Possible hypocalcemia

22
Q

How will a patient with acute pancreatitis present in clinic?

A

Sudden onset of epigastric pain, vomiting and abdominal distension

23
Q

What is this an image of?

A

Necrotic surface

Pseudocyst

24
Q

Activation of proteolytic enzymes will do what in pancreatits?

A

Act as chemotactic factors and cause inflammation

GI and Nutrition (57 decks)

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