Exam 1: pancreatitis

Question 1

pancreatitis

Answer 1

inflammation of the pancreas

Question 2

etiology of pancreatitis

Answer 2

1. alcoholism- break down wall of pancreas
2. cholelithiasis- stones in pancreas duct
3. peptic ulcers- eats into pancreas
4. trauma
5. hyperlipidemia- over stimulate

Question 3

acute pancreatitis

Answer 3

autodigestion of pancreatic cells

Question 4

patho chain of acute pancreatitis

Answer 4

direct toxic injury to cells-> activation and release of pancreatic enzymes into pancreas-> autodigestion of pancreatic tissues-> leads to edema, hemorrhage, necrosis and pseudocysts, pancreatic abscess

Question 5

clinical mani of acute pancreatitis

Answer 5

acute midabdominal pain
fever
increased WBC
nausea/vomiting
hypotension leads to shock if lost lots of fluid

Question 6

acute pancreatitis is usually

Answer 6

self limiting

Question 7

how do they diagnose acute pancreatitis

Answer 7

clinical finding and history

serum amylase and lipase are up

Question 8

chronic pancreatitis etiology

Answer 8

chronic alcohol abuse/addiction is the most common cause

Question 9

clinical mani of chronic pancreatitis

Answer 9

• continuous/intermittent abd. pain- worse after meals
• steatorrhea (fatty stools)
• malabsorption of calories
• may become insulin dependent diabetic

Question 10

management of chronic pancreatitits

Answer 10

no alcohol

replacement enzymes

Question 11

pancreatic cancer mani

Answer 11

anorexia, weightloss, dull epigastric pain

Question 12

risk factors for pancreatic cancer

Answer 12

smoker, drinkers, high fat eaters

Question 13

liver cancer mani

Answer 13

weightloss, abdominal discomfort

Question 14

liver cancer risk factors

Answer 14

from other cancer
hep B and C
alcohol use
cirrhosis