Exocrine Pancreas

Question 1

How can the pancreas obstruct the duodenum?

Answer 1

annular ring
embryological malformation
causes duodenal obstruction

Question 2

Acute pancreatitis from activation of

Answer 2

trypsin first

Question 3

Most common causes of acute pancreatitis

Answer 3

gallstones

alcohol

Question 4

Serum markers for acute pancreatitis

Answer 4

lipase and amylase

lipase more specific for pancreatitis

Question 5

Hypocalcemia in acute pancreatitis

Answer 5

Ca2+ bound up in soaponification of fat in fat necrosis of peripancreatic fat

Question 6

Acute pancreatitis in children

Answer 6

MVA trauma (seatbelt over abdomen)
*CF causes chronic pancreatitis

Question 7

Chronic pancreatitis etiologies

Answer 7

CF in children
EtOH in adults
*both are chronic conditions

Question 8

Complications of chronic pancreatitis

Answer 8

malabsorption (steatorrhea, KADE deficiency)
dystrophic calcifications
risk of adenocarcinoma of pancreas
2˚ DM

Question 9

Migratory thrombophlebitis

Answer 9

swelling, erythema, and extremities tenderness

in pancreatic adenocarcinoma

Question 10

Sx of pancreatic adenocarcinoma

Answer 10

@ head: obstructive jaundice w/ pale stools and palpable gallbladder