Final GB PAN Flashcards

1
Q

Cholelithiasis

A
  • gallstones. Usu CHL (must be 80%)

- Mixed >19%; pigment

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2
Q

gallstones

A

90% radioluscent do’t show on x-Ray) vs. nephrolithiasis (90% show)

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3
Q

acute acalculous cholecystitis

A

obstrution, CAD, trauma, immunosuppressive

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4
Q

chronic cholecystitis

A
  • GB wall thickens
  • shaggy appearance
  • rokitansky-Aschoff bodies
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5
Q

cholestorolosis

A
  • deposit of CHL and TG filled mO in LP of GB

- hundreds of tiny bright yellow dots (foci of CHL)–>strawberry GB

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6
Q

procelain GB

A
  • calcification d/t persistent inflammation

- risk factor for GB CA

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7
Q

choledocholithiasis

A

gallstone that has passed into common bile duct

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8
Q

ascending cholangitis

A
  • bacteria Infx ascending
  • pus in ampulla of Vater
  • peri-ductal fibrosis (ONION SKINNING) indistinguishable from PSC.
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9
Q

GB carcinoma

A
  • poor prognosis
  • F:M ratio 2-4:1; age 70
  • Most likely ADENOCARCINOMA (well differentiated most common)
  • tubular glands
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10
Q

Acute pancreatitis

A
  • F: gallstone related. M: ETOH related
  • Complication: abscess
  • saponification of calcium salts and FA
  • labs: amylase and lipase
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11
Q

pseudocyst

A
  • NO EPITHELIAL lining
  • NOT a tumor
  • peri-pancreatic fluid collection w/ high concentrations of pancreatic enzymes
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12
Q

Infected Necrosis

A

bac contamination of necrotic pancreatic tissue; abscence of ABSCESS

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13
Q

pancreatic access

A
  • pus from tissue necrosis, liquefaction, infection
  • late complication of acute necrotizing pancreatitis
  • E. Coli, klebsiella, s. aureus, streptococcus, pseudomonas
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14
Q

What are the benign pancreatic tumors

A
  1. pseudo papillary
  2. serious cyst adenoma
  3. muciloys cystadenmoma
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15
Q

pseudo papillary

A

hist: sheets of cells w/ uniform nuclei and eosinophilia or clear cytoplasm

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16
Q

serious cyst adenoma

A
  • honeycombed appearance on CT
  • ciliated cuboidal epithelium
  • Von Hippel-Lindau syndrome
17
Q

mucilinous cystadenoma

A

can transform into malignant if left untreated.

F>M, 49-59

18
Q

What are the malignant tumors of the pan.

A
  1. Pancreatic adenocarcinoma

2. mucious cystademocarcinoma

19
Q

pancreatic adenocarcinoma

A
  • EXOCRINE component, mostly from DUCTS (99%)

- VERY poor prognosis