L21: Pancreatic Neoplasm Flashcards

1
Q

Classification of Pancreatic Neoplasm

A
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2
Q

Incidence of Endocrine Pancreatic Neoplasm

A
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3
Q

Origin of Endocrine Pancreatic Neoplasm

A
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4
Q

CP of Endocrine Pancreatic Neoplasm

A
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5
Q

Epidemeology of Pancreatic Carcinoma

A
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6
Q

Most Pancreatic Carcinoma are …..

A
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7
Q

Site of Pancreatic Carcinoma

A
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8
Q

Risk Factors for Pancreatic Carcinoma

A
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9
Q

Risk Factors for Pancreatic Carcinoma

  • General
A
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10
Q

Risk Factors for Pancreatic Carcinoma

  • Life-Style
A
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11
Q

Pre-Cancerous lesions for Pancreatic Carcinoma

A
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12
Q

Site of Pancreatic Carcinoma

A
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13
Q

Size of Pancreatic Carcinoma

A
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14
Q

Types of Pancreatic Carcinoma

  • Macroscopically
A
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15
Q

Scirrhous Pancreatic Carcinoma

A
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16
Q

Medullary Pancreatic Carcinoma

A
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17
Q

Microscopic picture of Pancreatic Carcinoma

  • Duct cell Origin
A
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18
Q

Microscopic picture of Pancreatic Carcinoma

  • Acinar cell origin
A
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19
Q

Spread of Pancreatic Carcinoma

A
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20
Q

Spread of Pancreatic Carcinoma

  • Direct
A
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21
Q

Spread of Pancreatic Carcinoma

  • Lymphatic
A
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22
Q

Spread of Pancreatic Carcinoma

  • Blood
A
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23
Q

Spread of Pancreatic Carcinoma

  • Transperitoneal
A
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24
Q

Staging of Pancreatic Carcinoma

  • T
A
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25
Q

Staging of Pancreatic Carcinoma

  • N
A
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26
Q

Staging of Pancreatic Carcinoma

  • M
A
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27
Q

Compare Between Carcinoma of the Head & Carcinoma of the body & Tail

A
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28
Q

Compare Between Carcinoma of the Head & Carcinoma of the body & Tail

  • Presentation
A
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29
Q

Compare Between Carcinoma of the Head & Carcinoma of the body & Tail

  • Pain
A
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30
Q

Compare Between Carcinoma of the Head & Carcinoma of the body & Tail

  • Jaundice
A
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31
Q

Compare Between Carcinoma of the Head & Carcinoma of the body & Tail

  • Others
A
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32
Q

General Signs of Pancreatic Carcinoma

A
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33
Q

Abdominal Signs of Pancreatic Carcinoma

A
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34
Q

Complications of Pancreatic Carcinoma

A
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35
Q

DDx of Jaundice

A
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36
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

A
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37
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Age
A
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38
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Sex
A
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39
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Duration of symptoms
A
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40
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Pain
A
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41
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Fever
A
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42
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Jaundice
A
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43
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Stool
A
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44
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Pruritis
45
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Loss of Weight & Appetite
46
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Jaundice
47
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Anemia
48
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Abdominal examination
49
Q

Compare between Stones in CBD & Carcinoma Periampullary/Head of Pancreas

  • Metastasis
50
Q

DDx of Epigastric Mass

51
Q

Epigastric Mass

  • Carcinoma Stomach infiltrationg the Pancreas
52
Q

Epigastric Mass

  • Carcinoma Transverse Colon
53
Q

Epigastric Mass

  • Para-Aortic LN Mass
54
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

55
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Position in Relation to Peritoneum
56
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Presentation
57
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Movement with respiration
58
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Mobility
59
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Knee-Elbow position
60
Q

Compare between Carcinoma Body of Pancreas & Carcinoma Stomach

  • Percussion
61
Q

Investigations for Pancreatic Cancer

62
Q

Investigations for Pancreatic Cancer

  • LFTs
63
Q

Investigations for Pancreatic Cancer

  • Tumor Markers
64
Q

Investigations for Pancreatic Cancer

  • Tumor Markers (CA19-9)
65
Q

Investigations for Pancreatic Cancer

  • Tumor Markers (CEA)
66
Q

Investigations for Pancreatic Cancer

  • Abdominal US
67
Q

What is the first Imaging Examination to use in OJ?

68
Q

Significance of Abdominal US in Pancreatic Carcinoma

69
Q

Investigations for Pancreatic Cancer

  • CT
70
Q

Investigations for Pancreatic Cancer

  • Type of CT
71
Q

Investigations for Pancreatic Cancer

  • Findings of CT
72
Q

Investigations for Pancreatic Cancer

  • Needle Biopsy
73
Q

Investigations for Pancreatic Cancer

  • EUS
74
Q

Investigations for Pancreatic Cancer

  • EUS (Advantages)
75
Q

Investigations for Pancreatic Cancer

  • ERCP
76
Q

TTT of Pancreatic Cancer

77
Q

Indications of Stenting of Pancreatic Cancer

78
Q

Procedure of Stenting of Pancreatic Cancer

79
Q

……. are better than plastic stents

A

Self-Expanding metal stents

80
Q

…… is superior to stenting

A

Surgical Bypass

81
Q

Possible Risk of Surgery in OJ Patinets

82
Q

Possible Risk of Surgery in OJ Patinets

-Excessive Hge

83
Q

Possible Risk of Surgery in OJ Patinets

  • Septic Cholangitis
84
Q

Possible Risk of Surgery in OJ Patinets

  • Septicemia
85
Q

Possible Risk of Surgery in OJ Patinets

  • Renal & Hepatic Failure
86
Q

Pre-Operatice Preparation of Jaundiced Patients

87
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Aim
88
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Vitamin K
89
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Oral Bile Acids
90
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Prophylactic antibiotic
91
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Fluid
92
Q

Pre-Operatice Preparation of Jaundiced Patients

  • mannitol Osmotic
93
Q

Pre-Operatice Preparation of Jaundiced Patients

  • Sugar-Rich food
94
Q

TTT of PAC

  • First Step
95
Q

TTT of PAC

  • Procedure of Choice
96
Q

Indication of Radical
Pancreatico Duedenectomy (Whipple)

97
Q

Percentage of Patinets suitable for Radical
Pancreatico Duedenectomy (Whipple)

98
Q

Radical
Pancreatico Duedenectomy (Whipple)

  • Structures Removed
99
Q

Radical
Pancreatico Duedenectomy (Whipple)

  • Anastomoses
100
Q

Radical
Pancreatico Duedenectomy (Whipple)

  • Prognosis
101
Q

Radical
Pancreatico Duedenectomy (Whipple)

  • Chemo & Radio
102
Q

PPPD

103
Q

Triple Bypass in Pancreatic Cancer

104
Q

TTT of Carcinoma body & Tail

105
Q

TTT of Carcinoma body & Tail

  • If very small & Early
106
Q

TTT of Carcinoma body & Tail

  • If Late
107
Q

Carcinoma body & Tail

  • Prognosis
108
Q

TTT of Pancreatic Cancer

  • Palliation