GI VI

Question 1

porcelain gallbladder

Answer 1

calcified

chronic cholecystitis

tx - cholecystectomy prophylaxis
-high rate of gallbladder carcinoma

Question 2

acute pancreatitis

Answer 2

autodigestion by enzymes

epigastric pain radiate to back

elevated amylase and lipase (more specific)

can get fat necrosis

complication pseudocyst - lined granulation tissue - rupture and hemorrhage

Question 3

chronic pancreatitis

Answer 3

calcification of pancreas

alcohol abuse or idiopathic

Question 4

mutation CFTR

Answer 4

cystitc fibrosis

can cause chronic pancreatitis

Question 5

pancreatic andenocarcinoma

Answer 5

survival - 1 year

very aggressive from pancreatic ducts

often mets already with presentation

more common in pancreatic head

Question 6

CA19-9

Answer 6

pancreatic tumor marker

Question 7

risk fx pancreatic adenocarcinoma

Answer 7

tobacco
chronic pancreatitis
diabetes
jew and AAs

Question 8

trousseau syndrome

Answer 8

red and tener on palpation of extremities

migratory thrombophlebitis

Question 9

tx pancreatic adenocarcinoma

Answer 9

whipple procedure
chemo
radiation