PANCREAS Flashcards

1
Q

get smashed

A

hypercalcmeia
hyperlipidemia

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2
Q

complications of acute pancreatitis

A

necrostizing pancreatitis
walled of pancreatic necrisosi
ARDS

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3
Q

SIGNS OF CHRONIC PANCREATITIS

A

chronic diarrhoea

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4
Q

key word for chronic

A

calcification

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5
Q

differentiating acute from chronic

A

not pain - both will have

post handrail more likely to have in chronic

enzymes may ne normal or even low in chronic

chronic- more likely to be thin as not absorption the fats

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6
Q

surgery for chronic pancreatitis

A

pancreaticojujonsotmy, it basically connects the pancreatic duct to the jejunum so pancreatic juice skips the dusoneum

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7
Q

What is the gross pathology in edematous pancreatitis?
I

A

n edematous pancreatitis the pancreas appears boggy and indurated.

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8
Q

Necrotizing pancreatitis

A

Necrotizing pancreatitis is the most severe form of acute pancreatitis. Grossly, the
pancreas first appears haemorrhagic and then becomes necrotic.

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9
Q

pathophys of ARDS

A

Activated phospholipase A induces digestion of lecithin (an important
component of pulmonary surfactant) that play a role in pathogenesis of acute
respiratory distress syndrome (ARDS)

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10
Q

cardinal symptoms of acute pancreatitis

A

The cardinal symptoms of acute pancreatitis are epigastric and/or periumbilical pain
that radiates to the back.

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11
Q

WHAT PHYSICAL SIGNS CAN WE FIND IN NECTORIZING PANCREATTITIS

A

Significant abdominal distention, associated with generalised rebound and
abdominal rigidity, is preserve in severe pancreatitis.

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12
Q

what causes necrtizing (pathophys))

A

the enzymes

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13
Q

cornerstone diagnosis of pancreatitis

A

clinical findings plus an
elevation of pancreatic enzyme levels in the plasma (a threefold or high elevation of
amylase and lipase levels confirms the diagnosis.

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14
Q

tx of necrotizing

A

the dead tissue can become infected so iv antibiotics

debridement of the nectrotic tissue

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15
Q

What is the most important imaging test for acute pancreatitis?

A

CT SCAN

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16
Q

What is THE scale system used

A

RANSON

uk - glascow

17
Q

Which are the indications for surgery in acute pancreatitis? doublc chek agan

A
  1. tried conservative and doesnt work
  2. you have bilairy stones you need to get the stone out
  3. necrtotizing pancreatitis
  4. infection
  5. severe pancreatisi s
  6. complications like bowel obstruction, perforation
  7. pseudocysts
18
Q

management of uncomplicated pancreatitis

A

FLUIDS AND CORRECT ELECTROLYTES

19
Q

pseudocyst complications/symptoms

A

compress the stomach near
compress dudoenum (bowel obstruction, vomiitng)
compress bile ducts- jaundice

20
Q

most tumours of pmacreas are located

A

in head

21
Q

WHERE IS ZOLLINGER USUALLY LOCATED

A

pancreas, but can be duodemum

22
Q

what does zollinger cause

A

SEVRER ulcers in the stomach or dudoenum

23
Q

whats often associated with zollinger

A

MEN

24
Q

what does VIP DO

A

its a potent vasodilator

also works on the heart as inotrop and chrntropic

25
Q

diagnosis of ZES

A

A screening test of raised gastric pH or raised gastrin levels would be the initial screening test, however, a provocative test such as a secretin stimulation test is needed for diagnosis. This involves giving secretin and observing a very large increase in gastrin.

26
Q

diagnosis of ZES

A

A screening test of raised gastric pH or raised gastrin levels would be the initial screening test, however, a provocative test such as a secretin stimulation test is needed for diagnosis. This involves giving secretin and observing a very large increase in gastrin.

27
Q

Verner-Morrison syndrome

A

Verner-Morrison syndrome means: watery diarrhoea, hypokalaemia acidosis and
achlorhydria. It’s a result of over secretion of vasointestinal peptide (VIP) by vipoma.

flushing too