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Miranda's Flash Cards > ABD Board-Pancreas > Flashcards

ABD Board-Pancreas Flashcards

1
Q

panc lie in the

A

anterior pararenal space of the retroperitoneal

between the duodenal loop and the splenic hilum

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2
Q

function of panc to secrete trypsin, lipase, and amylase through the ductal system

A

exocrine

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3
Q

function of panc to secrete insulin via the islets of langerhans

A

endocrine function (non ductal)

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4
Q

normal anterior posterior measurment of panc

A
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5
Q

what overlies the anterior border of the panc body and tail

A

posterior wall of stomach

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6
Q

head of panc is ____ to the IVC

A

anterior

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7
Q

head of panc is _____ to the duodenum

A

medial

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8
Q

CBD is ______ ______ to the panc head

A

posterior lateral

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9
Q

GDA is _____ _____ to the panc head

A

anterior lateral

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10
Q

GDA is ________ to the CBD in panc head

A

anterior

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11
Q

superior mesenteric artery and vein are ______ to the neck of the panc

A

posterior

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12
Q

SMA and vein are _____ to the uncinate process

A

anterior

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13
Q

SMV is on the _____ side of the panc neck compairted to the SMA

A

right

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14
Q

the panc tail is located _____ and _____ to the splenic hilum

A

anterior and medial

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15
Q

ao is _____ to the body of the panc

A

posterior

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16
Q

celiac axis arises from the ao at the _______ border of the panc

A

superior

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17
Q

SMA arises from the ao at the ______ border of the panc

A

inferior

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18
Q

the splenic artery follows a torturous course along the ____ border of the body and tail of the panc

A

superior

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19
Q

the celiac axis gives of the ___ _____ ________ and then divides into the _____ _____ _______ and the ______ ______

A

left gastric artery

common hepatic artery

splenic artery

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20
Q

the CHA divides into the ______ _____ _____ and the _______ _________

A

proper hepatic A

gastroduodenal arteries

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21
Q

the PHA travels ______ toward the liver _____ to the portal vein and _____ of the bile duct

A

superiorly

anterior

left

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22
Q

normal panc duct measures

A
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23
Q

panc duct dilatation is typically due to

A

stones within the duct of wirsung from chronic pancreatits or a stone at the ampulla of vater

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24
Q

which part of the duodadanum is in contact with the panc head

A

c loop (2nd portion)

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25
Q

inflammatory disease producing temp pancreatic changes

A

acute pancreatitis

if does not resolve can bcome chronic or pseudocyst formation

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26
Q

most common causes of acute pancreatitis

A

gallstones

alcohol abuse

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27
Q

appearance of acute pancreatitis

A

enlarged hypoechoic

28
Q

inflammatory mass formed by edema and leakage of pancreatic enzymes

A

pancreatic phlegmon (foacal pancreatitis)

29
Q

a spreading of inflammatory reaction to an infection which forms a suppurative lesion

A

phlegmon

30
Q

irreversible destruction due to repeated pouts of pancreatic inflammation

A

chronic pancreatitis

most common cause is alcoholic

31
Q

elevation of serum amylase and lipase are found only during _____ ______ of pancreatitis

A

acute attacks

32
Q

appearance on chronic pancreatitis

A

small echogenic

calcification

pancreatic duct dilatation

pseudocyst formation

bile duct dilatation

portal vein thrombosis

33
Q

exocrine gland disorder resulting in viscous secretions causing pancreatic dysfunction

A

cystic fibrosis

34
Q

multiple pancreatic cysts are associated with

A

adult polycystic kidney disease and von hippel lindau syndrome

otherwise panc cysts are rare

35
Q

appearance of cystic fibrosis

A

increased pancreatic echogenicity

gland atrophy

fibrosis and fatty replacement

cysts due to ductal obstruction

36
Q

common associated condition with cystic fibrosis

A

meconium ileus

37
Q

accumulation of pancreatic fluid and necrotic debris confined by the retroperitoneum

A

pancreatic pseudocysts

attempt to prevent further tissue damage by walling off secretions

contain high amounts of amylase lipase and trypsin

38
Q

fluid fills the ______ with a pseudocyst

A

lesser peritoneal sac

39
Q

failure of the dorsal and ventral pancreatic ductal systems to fuse during embryonic development resulting i the smaller santorinis duct draining the panc

A

pancreas divisum

40
Q

pancreatic adenocarcinoma

A

90% of ppl present with lymphatic and metastatic spread of tumor

mean age is 55

typically arises from head

41
Q

symptoms of pancreatic adenocarcinoma

A

abd/back pain

jaundice (painless)

weight loss

42
Q

appearance of pancreatic adenocarcinoma

A

solid hypoechoic mass

43
Q

whipple procedure (pancreaticoduodenectomy performed with cancer of head of panc

A

head of panc, a portion of the bile duct, the GB, and duodenum are removed. The remaining pancreas and bile duct are sutured back to the intestines to direct secretion back to the gut

44
Q

benign

associated with von hippel lindau disease

cluster of grape like cysts

external lobulation

cluster of small cysts may appear as solid mass

A

pancreatic serous cystadenoma

45
Q

uncommon

malignant or potentially malignant

large multicystic mass with numerous septations and debris

increased CEA levels (carcinoembryoic antigen)

A

mucinous cystic neoplasms

46
Q

islet cell tumors

A

endocrine tumors

uncommon

associated with multiple endocrine neoplasia (men-1)

von hippel lindau disease (VHL)

mostly in tail and body

47
Q

most common islet cell tumor

A

insulinoma

usually benign

48
Q

2nd most common islet cell tumor frequently malignant

A

gastrinoma (zollinger-ellison syndrome)

49
Q

other islet cell tumores

A

glucagonoma

vopoma

somatostatinoma

50
Q

inher ited endocrine disorder 2 types

A

multiple endocrine neoplasia (MEN)

type 1 wermer syndrome

type 2 sipples syndrome

51
Q

most common site of involvement for multiple endocine neoplasia (MEN)

A

parathyroids (hyperthyroidism)

pancreatic islets cells (gastrinomas/insulimnomas)

pituitary glands (prolactinomas)

adreanal glands (pheochromocytomas)

thyroid (medullary thryooid carcinoma)

52
Q

the CBD is _________ to the head of the panc

A

posterior lateral

53
Q

gastroduodenal artery is _____ to the head of the panc

A

anterior lateral

54
Q

sma and smv are ____ to the neck of the panc

A

posterior

55
Q

unicate process is _____ to the sma and smv

A

posterior

56
Q

ao is _____ to the body of the panc

A

posterior

57
Q

celiac axis is ____ to the panc

A

superior

58
Q

splenic vein is ________ to the panc

A

posteriorinferior

59
Q

sma and smv are ____ to the 3rd protion of the duodenum

A

anterior

60
Q

smv is to the ____ of the sma

A

right

61
Q

stomach is _____ ____ to the spenic himum

A

anterior medial

62
Q

stomach is _____ to the panc body and tail

A

anterior

63
Q

tail of panc is ___ to the stomach

A

posterior

64
Q

tail of panc is ____ to the upper pole of the lt kidney

A

anterior

65
Q

splenic artery is ____ ____ to the panc

A

superior anterior

66
Q

enzyme produced by the panc and salivary glands, increases with dysfunction of panc and salivary glands

A

amylase

also excreted by kidneys

67
Q

____ ____ levels are parallel to amylase levels but rise later and persist longer

A

serum lipase

Miranda's Flash Cards (14 decks)

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