Gastrointestinal - Pancreas Flashcards
what is the most common type of pancreatic cancer?
ductal adenocarcinoma
risk factors for pancreatic cancer?
smoking alcohol pancreatitis high fat/red meat obese DM >60yrs
features of pancreatic cancer?
painless jaundice epigastric pain wt loss ascites anorexia
Ix for pancreatic cancer?
LFTs (cholestatic jaundice)
Ca 19 9
US
CT
Tx for pancreatic cancer?
ERCP (stent)
whipple’s
chemo
what is done during whipple’s?
for head of pancreas tumours
duodenum removed
jejunum joined to CBD/stomach
tail of pancreas attached to jejunum
how does hypovolaemia occur in pancreatitis?
oedema and fluid shift due to inflam
fluid trapped in gut/retro/peritoneum
hypovolaemia results
features of pancreatitis?
epigastric pain radiates to back vomiting tachycardia hypotension fever jaundice
what are the two types of bruising that can occur in pancreatitis?
periumbilical (cullen’s)
flanks (grey turner’s)
causes of pancreatitis?
Gallstones
Ethanol
Trauma
Scorption Venom Mumps Autoimmune Steroids Hyperlipi/hypotherm/hypercal ERCP Drugs
Pregnancy
Neoplasm
Ix for pancreatitis?
LFTs, U+Es, FBC Ca serum lipase amylase (3x normal) BM ABG CT
Tx for pancreatitis?
fluids
pain meds
treat cause (e.g ERCP,
surgery)
