Disorders of the Pancreas

Question 1

Epigastric pain radiating to back with elevated lipase and decreased pain when leaning forward

Answer 1

acute pancreatitis

Question 2

Tumor marker elevated with pancreatic cancer?

Answer 2

CA 19-9

Question 3

What criteria are used to predict mortality in acute pancreatitis?

Answer 3

Ranson’s criteria

Question 4

Ecchymosis around the umbilicus which represents retroperitoneal or intra-abdominal bleeding?

Answer 4

Cullen’s sign

Question 5

Painless jaundice and a palpable non-tender gallbladder (Courvoisier’s sign)

Answer 5

pancreatic cancer

Question 6

Pancreatic cancer is most commonly located at which part of the pancreas?

Answer 6

the pancreatic head

Question 7

Classic triad:
pancreatic calcification (plain abdominal x-ray)
steatorrhea (high fecal fat)
diabetes mellitus

Answer 7

chronic pancreatitis

Question 8

A circumscribed collection of fluid rich in pancreatic enzymes, blood, and necrotic tissue

Answer 8

pancreatic pseudocyst

Question 9

Ecchymosis around the flank caused by retroperitoneal hemorrhage

Answer 9

Grey Turner’s sign

Question 10

What is the Dx? Epigastric pain radiating to back with elevated lipase

Answer 10

acute pancreatitis

Question 11

A 45 year old male alcoholic with epigastric abdominal pain and radiation to mid back develops ARDS. What is the most likely diagnosis?

Answer 11

acute pancreatitis and sepsis