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pancreas Flashcards

1
Q

what is the most T1 bright organ in the body?

A

the pancreas!

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2
Q

PMCN occur in what location?

A

80% occur in the TAIL

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3
Q

middle aged woman with cyst in the tail of the pancreas

A

MCN

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4
Q

young ASIAN woman with a mass in the pancreas

A

SPEN

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5
Q

grandma with a multicystic pancreatic mass

A

serous cystadenoma

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6
Q

MCN clinical history

A

mother lesion - middle aged woman

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7
Q

SPEN clinical history

A

daughter lesion - young ASIAN woman with a mass in the pancreas

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8
Q

serous cystadenoma clinical history

A

grandma lesion - elderly lady

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9
Q

complete fatty replacement of the pancreas

A

CF less likely…Shwachman-Diamond

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10
Q

cross over sign

A

pancreas divisum

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11
Q

dude that is an alcoholic with a pancreatic cystic lesion

A

pseudocyst

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12
Q

sausage pancreas

A

autoimmune pancreatitis

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13
Q
A

fatty atrophy of the pancreas

CF!!

(less likely Shwachman-Diamond)

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14
Q
A
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15
Q
A

dorsal agenesis of the pancreas

•hyperglycemia: may be present in a significant proportion of cases (up to 50% 1,6)

sometimes associated with polysplenia

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16
Q
A

dorsal agenesis of the pancreas

just remember if you see a slice that looks like the pancreas is missing… the examiner is showing this to you on purpose

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17
Q

middle aged woman

A

Mucinous cystic neoplasm

bad actor - need to take this out

about 80% are in the tail

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18
Q
A

autoimmune pancreatitis PLUS retroperitoneal fibrosis (commonly together)

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19
Q
A

annular pancreas

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20
Q
A

This case illustrates the potential for multisystem inflammation in this autoimmune disorder that is mediated by IgG4. Diagnosis is key, as early intervention with corticosteroid medication may reverse all the inflammatory disorders.

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21
Q
A

intrapancreatic splenule

follows enhancement pattern of the spleen

22
Q
A

intrapancreatic splenule

23
Q
A

intrapancreatic splenule

can use heat killed RBC (or SC) to prove it

25
Q
A

pancreatic adeno

bile duct dilation in the liver

main duct dilation in the pancreas

26
Q

what is the highest risk factor for pancreatic adenocarcinoma? smoking or alcohol?

27
Q

hereditary risk factors for pancreatic adenocarcinoma?

A

family history

BRCA1/2

Peutz Jegher (“p” for pancreas)

28
Q

what makes pancreatic cancer unresectable

A

>180 deg involvement of celiac or SMA

29
Q

most common functioning NET

A

insulinoma

30
Q

hypoglycemia, low blood glucose, relief of symptoms with administration of glucose

A

insulinoma

31
Q

% of insulinomas that are malignant

A

10%

Important to know because this is a VERY low percent compared to the others

32
Q
A

splenic vein thrombosis in the setting of pancreatitis –> isolated gastric varices

33
Q
A

gastrinoma

gastrinoma triangle! includes duodenum

34
Q

when do you treat these?

A

this is a splenic artery pseudoaneurysm

treat >2cm or in pregnancy

35
Q
A

splenic pseudoaneurysm

associated with pancreatitis. DON’T biopsy this

36
Q

how do you treat this?

A

GDA pseduoaneurysm, treat with coils on BOTH ends of the aneurysm. If you don’t do distal and proximal COIL embo then collaterals will feed it and it will keeping bleeding.

37
Q

what % of gastrinomas are malignant?

39
Q

important gastrinoma association

40
Q
A

MEN1

3 “ps”

  • pancreatic islet cell tumor
  • pituitary adenoma
  • parathyroid adenoma
41
Q

trauma

A

pancreatic duct transection

42
Q

trauma

A

pacnreatic transection

43
Q

15 yo hit the handle bars on the bike

A

transected pancreas

44
Q

kids with traumatic pancreatitis who is too young to ride a bike or wear a seatbelt:

A

non-accidental trauma

45
Q

most common cause of pancreatitis in kids

46
Q
A

serous cystadenoma

47
Q
A

serous cystadenoma

48
Q
A

serous cystadenoma

49
Q

middle aged female, no history of pancreatitis

50
Q

old dude who drinks and eats fatty foods

A

pancreatic pseudocyst

CORE BODY (8 decks)

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