Hepatic, Pancreatic, Biliary 4

Question 1

Why do 60% of newborns get jaundice?

Answer 1

• liver takes a few days to kick in

- can’t process bilirubin

Question 2

How is newborn jaundice treated?

Answer 2

UV phototherapy

Question 3

What are the gallbladder disorders?

Answer 3

• cholelithiasis
• cholecyctitis
• gallbladder cancer

Question 4

cholelithiasis

Answer 4

• cholesterol gallstones

- pigmented gallstones

Question 5

cholecystitis

Answer 5

inflammatoin of gallbladder

Question 6

gallbladder cancer

Answer 6

rare

Question 7

What is done for gallbladder disorders?

Answer 7

open or laparoscopic cholecystectomy used to remove gallbladder if stones persist

Question 8

procedure used to break up gallstones laparoscopically

Answer 8

lithotripsy

Question 9

pancreatic disorders

Answer 9

• pancreatitis
• pancreatic cancer
• pancreatic cysts

Question 10

types of pancreatitis

Answer 10

acute

chronic

Question 11

pancreatic cancer is the ___ leading cause of death

Answer 11

4th

Question 12

pancreatic cancer px

Answer 12

6% 5 year survival rate

Question 13

Whipple procedure and px

Answer 13

increases 5 year survival rate to 25%

Question 14

Why are only 20% of pancreatic cancer pts eligible for the Whipple procedure?

Answer 14

depends on the location/extent of the cancer

Question 15

What does the Whipple procedure remove?

Answer 15

• head of pancreas
• gallbladder
• upper duodenum
• small portion of stomach
• lymph nodes near pancreas head

Question 16

What is different post-op for a Whipple?

Answer 16

pancreatic enzymes, bile, and stomach contents flow into the small intestines

Question 17

After a whipple, what does diet look like?

Answer 17

• small, easily digestible food

- may need pancreatic enzyme supplements

Question 18

recovery from a Whipple

Answer 18

2-3 months

Question 19

What might a Whipple procedure induce?

Answer 19

DM: depends on extent of surgery

Question 20

guidelines for physician referral

Answer 20

• pain referral pattern
• hx of cancer or hep risk factors
• arthralgias of unknown origin coupled with prev hx of hepatitis or risk factors
• B CTS or TTS
• sensory neuropathy of unknown cause