Inborn Errors, Gallbladder and Exocrine Pancreas A&P, Pathophysiology Flashcards

1
Q

what is inflammation of the pancreas

A

pancreatitis

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2
Q

what is pancreatitis associated with

A

ETOH
biliary obstruction
trauma
hyperlipidemia

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3
Q

what can increase the risk of pancreatitis

A

genetic predisposition
smoking increases risk
medication risk

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4
Q

what is typically the cause of acute pancreatitis

A

d/t obstruction of the exocrine pancreatic juices
also associated with cellular injury (drugs, toxins, infection)

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5
Q

what is chronic pancreatitis

A

fibrotic destruction with calcifications
associated with ETOH, smoking, recurrent acute pancreatitis
pain with intraductal pressure

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6
Q

What is PKU

A

phenylketonuria
amino acid metabolism disorder
congenital, autosomal recessive disorder

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7
Q

what is Tyrosine

A

amino acid
made from phenylalanine - helps to create proteins
needed for neurotransmitters
produce melanin
helps to manufacturing and regulation of hormones

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8
Q

what is hereditary hemochromatosis

A

congenital abnormality leading to increased iron absorption and overload
HFE gene disorder
autosomal recessive

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9
Q

where is hepcidin made

A

in the liver to regulate iron levels through change in absorption

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10
Q

what are clinical findings with hemochormatosis

A

skin pigmentation
diabetes
restrictive cardiomyopathy
cirrhosis and elevated LFTS
fatigue, altered LOC, hypothyroidism, hypogonadism

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11
Q

what is wilson disease

A

genetic disoder leading to copper metabolism mutation
autosomal recessive
dysfunction of copper transporter gene ATP7B

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12
Q

what is the Kayser-Fleischer ring

A

accumulation of copper in the eye

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13
Q

what is cholelithiasis

A

stones form as result of decreased cholesterol, bilirubin and bile acid metabolism

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14
Q

what are the types of cholelithiasis

A

cholesterol **
pigmented
mixed stones

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15
Q

what is biliary colic

A

temporary pain d/t stone lodged in duct
most common after fatty meal

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16
Q

what is cholecystitis

A

gallstone within the cystic duct
obstruction leads to inflammation, distended

17
Q

what is choledocholithiasis

A

stone within the common bile duct
pancreatic juices are able to be released

18
Q

what are complications of choledocholithiasis

A

acute pancreatitis
ascending cholangitis

19
Q

what is cholangitis

A

obstruction of common bile duct
typically galstones
increased pressure - translocation of bacteria

20
Q

what is charcot’s triad

A

jaundice
RUQ pain
fever

21
Q

what is reynolds pentad

A

jaundice
RUQ pain
fever
hypotension
sepsis