Hepatopancreaticobiliary

Question 0

Causes of pyogenic liver abscesses:

Answer 0

1. Biliary tract pathology ( most common)
2. Pylephlebitis (ascending infection of portal vein) secondary to Inflammatory bowel disease, appendicitis, diverticulitis, and PID

Question 1

Treatment of pyogenic liver abscess is:

Answer 1

Broad spectrum abx and percutaneous drainage

Question 2

When should pancreatic pseudocysts be treated

Answer 2

Pancreatic pseudocysts smaller than 6cm and present for less than 6 weeks should be managed conservatively with serial CT scans.
-Invasive treatment should only be performed for symptomatic or enlarging pseudocysts

Question 3

The diagnostic modality of choice in the initial evaluation of a gallbladder polyp is?
What are the findings more characteristic of malignant disease?

Answer 3

Ultrasound

Discontinuous mucosa, echogenic mucosa, and submucosal echolucency

Question 4

In patients who have prolonged hospital stays in ICU settings and new onset fevers, increasing leukocytosis, and elevation of alk phosphatase and bilirubin, what should be considered?

Answer 4

Acalculus cholecystitis

Question 5

Diagnostic test for acalculus cholecystitis is

Answer 5

RUQ US

Question 6

Signs and symptoms of VIPoma include

Answer 6

Watery diarrhea, hypokalemia, and achlorhydria

Question 7

Where are VIPomas located in the pancreas? What is the most sensitive method of imaging?

Answer 7

The distal pancreas

EUS