E1. Gallbladder and pancreas Flashcards

1
Q

What is the purpose of the gallbladder?

What is the purpose of the bile ducts?

Whatis the purpose of the common bile duct? D

A

Gallbladder: store, concentrates and releases bile.

Bile ducts: Carry bile from different lobules of the liver.

Common bile duct: carry bile to intestine.

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2
Q

What is bile made of?

A

Water, cholesterol, bile acids, Billirubin, inorganic ions, and a variety of other constituents.

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3
Q

What does bile do?

A

Necessary for digestion of dietary fat. Excretory route for various metabolites and drugs. Buffers to neutralize acid pH from the stomach.

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4
Q

Look at slides 3 – 4.

A

Bullshit

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5
Q

What are the lesions of the biliary system? (8)

A
• Gallbladder distension
• Gall bladder stones (choleliths)
• Biliary obstruction
• Rupture of the biliary tract or the gall bladder 
• Gall bladder edema
• Gall bladder mucosal hyperplasia
• Inflammation:
– Cholangitis
– Cholecystitis 
• Neoplasia (rare)
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6
Q

Gallbladder distention is the common result of what?

What can also cause this?
Slide 6pictures

A

Common result of fasting.

Lantana camera toxicosis.

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7
Q

Look at slide 7.

A

couldn’t figure out how to ask questions

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8
Q

What is the cause of biliary obstruction?

What is the result of biliary obstruction?

A

Causes: cholangitis, parasites or fibrosis, cholelithiasis (gall stones)

Result: post hepatic jaundice, hepatic atrophy and biliary fibrosis

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9
Q

Look at slide number 9

A

Not questionable

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10
Q

What is the common causes of gallbladder edema?

A

Right heart failure and infectious canine hepatitis (ICH)

slide 10 picture

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11
Q

What is another name for inflammation of the gallbladder?A

A

Cholecystitis

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12
Q

Can Cholecystitis be acute or chronic?

What causes the fibrinous Cholecystitis?

What causes hemorrhagic Cholecystitis?

A

Yes it can be both.

Seen in calves with acute salmonellosis and yersiniosis

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13
Q

Where (animals and organs) will you see gallbladder mucosal hyperplasia?
What is this associated with?

A

Old dogs and less in pigs and Cats. affects the walls of the gallbladder and the bile ducts.

May be associated with mucocele.

Look at slide 12

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14
Q

Look at slide 13 (pictures) and 14-15, slides 17-18 (pancreas function)

A

A

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15
Q

How is the exocrine pancreas like/unlike the liver?

A

It’s like the liver that has a large functional reserve.

It’s unlike the liver in regenerative capacity. Its regenerative capacity is very limited compared to the liver.

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16
Q

What are the are the clinical signs associated with pancreatic disease? (3)

With acute pancreatitis was the main clinical signs?

A

– Steatorrhea
– Diarrhea
– Weight loss despite polyphagia.

Abdominal pain
look at slide 20 picture

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17
Q

What are the two developmental abnormalities incidental findings?

A

– Anomalous tail
– Ectopic pancreas
Slide 21

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18
Q

Look at slide 22 unable to think of questions.

A

Also picture

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19
Q

In what animal does pancreatic hypoplasia occur?

What is pancreatic hypoplasia?

What is the name for this if it’s found in a dog?A

A

– Calves

-Defect of the acinar tissue; the islet cell tissue may be quantitatively and qualitatively normal.

– Pancreatic atrophy

20
Q

What breed is most likely to have juvenile pancreatic atrophy?

Look at slide 24 more info.

A

German shepherds

21
Q

Look at slide 26 – 27.

A

…….……………..

22
Q

When will you see multifocal pancreatic degeneration and necrosis?

What type of intoxication’s might also be responsible?S

A

It is seen in systemic infections, particularly due to epithelialotrophic viruses.

Intoxication: mycotoxins, zinc toxicity.

23
Q

What are some synonyms for acute pancreatitis?

A

Acute pancreatic necrosis, acute hemorrhagic pancreatitis.

24
Q

Acute pancreatitis is an important disease for who/what?

A

Dogs, cats, and human beings.

Slide 30 is a picture

25
Q

Look at slide 31-34 is the pathogenesis of acute pancreatitis.

A

…………………..

26
Q

What does acute pancreatitis look like?

A

• Chalky-white areas of fat necrosis (saponification of necrotic adipose tissue).
• The peritoneal cavity contains blood stained fluid with fat droplets.
slide 35 has a picture

27
Q

Look at slide 36 is that histological appearance

A

I don’t think that will be too important

28
Q

What is the cause of chronic pancreatitis and dogs?

A

Usually due to repeated mild episodes of acute pancreatitis

29
Q

What arethe characterizations of pancreatitis?

A

Fibrosis, parenchymal atrophy and chronic inflammation.

30
Q

What regions of the world of fungal infections (phycomycosis) caused marked scirrhous reaction, often indistinguishable from pancreatic carcinoma.

A

Warm humid regions

31
Q

Slide 38 – 39 are pictures.

A

……

32
Q

What is chronic pancreatitis secondary to the horses?

A

– Parasitic migration (Strongylus equinus)
– Ascending bacterial infection
– Chronic eosinophilic gastroenteritis

slide 40 has a picture

33
Q

Read slide 41. I couldn’t think of a way to make a question

A

.

34
Q

What are pancreatic calculi made of?

A

Calcium carbonate and calcium phosphate

35
Q

Where would you incidentally find pancreatic lithiasis? (animal)

A

Cattle over 4 yrs of age

*is rare in other species

36
Q

In what animals is nodular hyperplasia a common incidental finding?

A

Old dogs, cats and cattle.

37
Q

What does pancreatic hyperplasia involve?

A

Exocrine tissue only, occurs in many foci, and may involve lobules or only portions of them.

38
Q

What is it hard to differentiate pancreatic nodular hyperplasia from?

A

Exocrine pancreatic adenoma

39
Q

look at:
Slide 44 is a picture
Slide 45 is a gross and histiologic description of pancreatic hyperplasia and a picture.

A

.

40
Q

What are the two forms of pancreatic neoplasia? (basic)

A

Benign (Adenoma)
malignant:
– primary (pancreatic adenocarcinoma)
– secondary (metastasis)

41
Q

How often do you see pancreatic adenomas?

A

It’s extremely rare, and occasionally seen in old cats.

Look at slide 47 for more info.

42
Q
Which of these is a malignant cancer of the pancreas?
A. Lymphosarcoma
B. Pancreatic adenoma
C. Melanoma
D. Pancreatic adenocarcinoma
E. two of the above
A

D. Pancreatic adenocarcinoma

43
Q

Where are pancreatic adenocarcinomas mainly seen?

A

Dogs and cats.

44
Q

What is the pancreatic adenocarcinomas gross appearance?

A

May be more or less spherical and circumscribed, or it may have some resemblance to masses of scar tissue.

45
Q

Look at slides 49 to 50.

A

Couldn’t think of any questions, and 50 is a picture. T