exocrine pancreas, GB, and liver path Flashcards

1
Q

complications of acute pancreatitis

A

shock due to peripancreatic hemorrhage
pancreatic pseudocyts
pacnreatic abscess from E coli infection
DIC and ARDS

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2
Q

dystrophic calcification of pancreatic parenchyma on imaging

chain of lakes pattern due to dilation of pancreatic ducts

A

chronic pancreatitis

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3
Q

pancreatic insufficiency leads to

A

malabsorption with steatorrhea and fat soluble vitamin deficiencyies

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4
Q

migratory thrombophlebitis (trousseua syndrome)

A

pancreatic carcnioma

swelling, erythema, tnederness in extremities

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5
Q

gallstones arises with

A

supersaturation of cholesterol or bilirubin

decrased phospholipids, bile acids, or stasis

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6
Q

risk factors for bilirubin stones

A

extravascular hemolysis and biliary tract infections ( e coli, ascaris lumbricoides, and clonorchis sinesis)

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7
Q

infection that increases risk of cholangiocarcinoma

A

clonorchis sinensis

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8
Q

biliary colic

A

GB contracting against stone in cystic duct

wax and waning RUQ pain

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9
Q

acute cholecystitis from what

increased what levels

A

acute inflammation of the GB wall
bacterial overgrowth and inflammation
increaesed serum alk phos, increased WBC

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10
Q

porcelain GB is what

A

late complication of chronic cholecystitis

shrunk, hard GB due to chronic inflammation, fibrosisi and dystorphic calcification

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11
Q

rokitansky aschoff sinus

A

from chronic cholecysitits

GB mucosa into the musuclar wall

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12
Q

what mediates damage in alcohol related liver diseae

A

acetaldehyde

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13
Q

mallory bodies

A

swelling of heptaocytes

damaged cytokeratin filatments (intermediate filaminets)

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14
Q

PSC is increased risk for what cancer

A

cholangiocarcnioma

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15
Q

HCC has increased risk for what syndrome

A

budd chieari syndrome

hepatomegaly and asicites and necrosis from infarction of hepatic vein

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16
Q

serum tumor marker for HCC

A

alpha fetoprotein