Pacrestic Disase

Question 1

For acute pancreatitis what is the name of the algothrithim

Answer 1

Revised Atlanta class (2012)

Question 2

Going off of the revised Atlanta classification, what two categories is acute pancreatitis split in

Answer 2

Interstial edematous

Necrotising

Question 3

What is the less than 4 weeks and greater than 4 weeks fluid called in interstitial edematous pancreatitis

Answer 3

Acute peripancreatic fluid collection <4 weeks

Pseudo cyst > 4 weeks

Question 4

What is the less than 4 weeks and greater than 4 weeks fluid called in necrotising

Answer 4

Acute necrotic collection
Walled off necrosis
These can parachuymal or peripancreatic

Question 5

How might a WOPN be treated

Answer 5

CT
EUS guided stent
Repeat CT
Remove stent

Question 6

What can pancreatic pleural fistula cause

Answer 6

Pleural effusion

Question 7

When aspirating pancreatic fluid, which things are looked at

Answer 7

Cytology for malignancy 
Fluid amylase
Serum amylase
Protein 
Fluid albunim 
Serum albumin

Question 8

What may be treatment for someone with pancreatic flural fistula

Answer 8

Pleural effusion aspiration 
HPB clinic 
Smoking cessation 
No alcohol 
Octreotide injections
ERCP

Question 9

What is a concern with someone with ascites

Answer 9

Poor nutrition

Weight loss

Question 10

What is the treatment for someone with pancreatic ascites

Answer 10

Standard percutaneous ascites drainage 
Fluid amylase 
Fluid protein 
Serum ascites albumin gradient (determines portal hypertension ) 
NJ tube feeding 
Octreotide injections 
ERCP

Question 11

What is chronic pancreatitis

Answer 11

Inflammation

Loss of function

Question 12

Where is chronic pancreatitis of huge prevalence

Answer 12

India

Question 13

What are causes of chronic pancreatitis

Answer 13

Alcohol
Cystic fibrosis
Congenital abnormalities like angular pancreas
Hereditary pancreatitis ; autosomal dominant
Hypercalcaemia
Diet

Question 14

Risk to chronic pancreatitis in relation to alcohol and smoking is dose related, true or false

Answer 14

True

Question 15

What are the symptoms to CP

Answer 15

Abdominal pain
Excroine insuffiency leading to dietary management
Endocrine insufficency

Question 16

What symptom is most difficult to treat in CP

Answer 16

Abdominal pain

Question 17

What methods of imaging ar most specific and sensitive for CP

Answer 17

MRI

EUS

Question 18

If a patient has high risk or worrisome factors what occurs in relation to cysts

Answer 18

They get urgent HPE MDT discussion

Question 19

What is the preferred method for PCL imaging

Answer 19

MRI

Question 20

What biomarkers are checked in cyst fluid

Answer 20

DNA markers (GNAS, KRAS)
RNA or other protein marks
Carcino embryonic antigen
Amylase

Question 21

Carinoma in the is more or less likely to cause pain

Answer 21

Less

Question 22

What are common signs of carinoma in pancreases

Answer 22

Pain if in tail or body
Weight loss
Anorexia 
Fatigue 
Erythema nodosum 
Ascites 
Portal hypertension

Question 23

In patients with cancer, what percentage are inoperable

Answer 23

70%

Question 24

Use of radio frequency with stenting has been shown to increase latency and improve survival true or false

Answer 24

True

Question 25

What technique is used to block pain in cancer

Answer 25

EUS Guided coeliac plexus block / neurolysis

Question 26

What is the diff between block and neurolysis in EUS guided Coeliac plexus

Answer 26

Triamcinolone for block
Absolute alcohol for neurolysis

Neurolysis in people with severe pain