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Psychology > PANC > Flashcards

PANC Flashcards

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1
Q

how is the pancreas in kids different than adults

A

more lean and easy to see

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2
Q

Peditric pancreas appearance

A

homogenous and more hypo echoic than adult

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3
Q

panic duct will be what size

A

< 1mm

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4
Q

how does cystic fibrosis affect the pancreas (4)

A

Exocrine glands produce highly viscous mucus
Small ductules of panc get obstructed
Tissue destruction, atrophy, replacement with fibrosis and fat
Pancreatic insufficiency →improper digestion, steatorrhea

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5
Q

sono appearance of cystic fibrosis panc (3)

A

hyperechoic and small panc.
Small cysts and Ca2+ may be present
Liver disease and gallstones

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6
Q

congentital cysts (2)

A

Von Hippel Lindau

Autosomal Polycystic disease

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7
Q

types of pancreatic neoplasms

A

Pancreatic Carcinoma
Islet Cell Tumors (Insulinoma)
Lymphoma (mets)

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8
Q

Pancreatic Carcinoma clinical presentation

A

Non-specific signs and symptoms

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9
Q

is Pancreatic Carcinoma a functioning tumour

A

no

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10
Q

pancreatic carcinoma sono features (3)

A

Large at presentation
Hypoechoic mass
Mets to the liver, lymph nodes, and lungs typically has occurred

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11
Q

______ of islet cell tutors produce hormones

A

2/3rds

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12
Q

the other third of islet cell tutors do what

A

grow large and obstructs the biliary system or GI tract

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13
Q

how is islet cell tutor diagnosed

A

Well circumscribed
Anechoic
Mets might be present

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14
Q

causes of acute pancreatitis (5)

A 
Blunt abdo trauma
Infections, usually viral
Drug toxicity
Hereditary 
Idiopathic
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15
Q

what is pathogenesis of acute pancreatitis

A

pancreatic enzymes escape into surrounding tissue

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16
Q

clinical presentation of acute pancreatitis (3)

A

N&V
Abdo pain
Fever, tachycardia, abdo distention

17
Q

sono appearance acute pancreatitis (3)

A

Enlarged pancreas
Edematous
Less echogenic than liver

18
Q

dilated panc duct =

A

1.5 mm or more

19
Q

lab data for pseudo cyst

A

increase serum amylase

20
Q

pseudocyst sono (4)

A

Anechoic / TT
Sharp walls
Single or multiple
Simple or complex (internal echoes from pus or debris)

21
Q

what is phlegmon

A

Solid inflammatory mass
Consists of necrotic tissue, inflammatory exudate and tissue edema
Can develop into abscess

22
Q

treatment of access in panc

A

percutaneous drainage

23
Q

what does pancreatitis cause (2)

A

fibrosis and destruction of pancreatic cells

24
Q

Pancreatic fibrosis causes

A

areas of strictures and dilation of the main pancreatic duct

25
Q

chronic pancreatitis advance stage (4)

A

Shrunken pancreas
Irregular borders
Echogenic due to fibrosis
Calcifications

Psychology (31 decks)

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