Hepatic, Pancreatic, Biliary 4 Flashcards
Why do 60% of newborns get jaundice?
- liver takes a few days to kick in
- can’t process bilirubin
How is newborn jaundice treated?
UV phototherapy
What are the gallbladder disorders?
- cholelithiasis
- cholecyctitis
- gallbladder cancer
cholelithiasis
- cholesterol gallstones
- pigmented gallstones
cholecystitis
inflammatoin of gallbladder
gallbladder cancer
rare
What is done for gallbladder disorders?
open or laparoscopic cholecystectomy used to remove gallbladder if stones persist
procedure used to break up gallstones laparoscopically
lithotripsy
pancreatic disorders
- pancreatitis
- pancreatic cancer
- pancreatic cysts
types of pancreatitis
acute
chronic
pancreatic cancer is the ___ leading cause of death
4th
pancreatic cancer px
6% 5 year survival rate
Whipple procedure and px
increases 5 year survival rate to 25%
Why are only 20% of pancreatic cancer pts eligible for the Whipple procedure?
depends on the location/extent of the cancer
What does the Whipple procedure remove?
- head of pancreas
- gallbladder
- upper duodenum
- small portion of stomach
- lymph nodes near pancreas head
What is different post-op for a Whipple?
pancreatic enzymes, bile, and stomach contents flow into the small intestines
After a whipple, what does diet look like?
- small, easily digestible food
- may need pancreatic enzyme supplements
recovery from a Whipple
2-3 months
What might a Whipple procedure induce?
DM: depends on extent of surgery
guidelines for physician referral
- 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
