Feb20 M2-Pancreas Pathology

Question 1

pancreas divisum def

Answer 1

congenital problem: failure of ventral and dorsal ducts to fuse

Question 2

4 risk factors for acute pancreatitis

Answer 2

gallstones, alcohol, (idiopathic), in remaining 5%: pancreas divisum, high serum Ca, shock (not enough blood flow to pancreas)

Question 3

3 complications of acute pancreatitis

Answer 3

• shock
• pseudocysts
• low Ca (due to saponification)

Question 4

3 complications of chronic pancreatitis

Answer 4

• pseudocysts
• adenoCA of pancreas.
• fat malabsorption with osteomalacia (serum glucose up eventually bc of late endocrine insufficiency)

Question 5

mucin extruding from ampulla seen in what condition

Answer 5

IPMN (intraductal papillary mucinous neoplasm)

Question 6

courvoisier sign def + linked with what

Answer 6

palpable enlarged GB. sign of tumor in head of pancras and related obstruction

Question 7

insulinoma def + specific lab

Answer 7

benign pancreatic neuroendocrine tumour (of islet cells): hypoglycemia. (hypoglycemic episodes)