PANCREAS Flashcards
get smashed
hypercalcmeia
hyperlipidemia
complications of acute pancreatitis
necrostizing pancreatitis
walled of pancreatic necrisosi
ARDS
SIGNS OF CHRONIC PANCREATITIS
chronic diarrhoea
key word for chronic
calcification
differentiating acute from chronic
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
surgery for chronic pancreatitis
pancreaticojujonsotmy, it basically connects the pancreatic duct to the jejunum so pancreatic juice skips the dusoneum
What is the gross pathology in edematous pancreatitis?
I
n edematous pancreatitis the pancreas appears boggy and indurated.
Necrotizing pancreatitis
Necrotizing pancreatitis is the most severe form of acute pancreatitis. Grossly, the
pancreas first appears haemorrhagic and then becomes necrotic.
pathophys of ARDS
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)
cardinal symptoms of acute pancreatitis
The cardinal symptoms of acute pancreatitis are epigastric and/or periumbilical pain
that radiates to the back.
WHAT PHYSICAL SIGNS CAN WE FIND IN NECTORIZING PANCREATTITIS
Significant abdominal distention, associated with generalised rebound and
abdominal rigidity, is preserve in severe pancreatitis.
what causes necrtizing (pathophys))
the enzymes
cornerstone diagnosis of pancreatitis
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.
tx of necrotizing
the dead tissue can become infected so iv antibiotics
debridement of the nectrotic tissue
What is the most important imaging test for acute pancreatitis?
CT SCAN
What is THE scale system used
RANSON
uk - glascow
Which are the indications for surgery in acute pancreatitis? doublc chek agan
- tried conservative and doesnt work
- you have bilairy stones you need to get the stone out
- necrtotizing pancreatitis
- infection
- severe pancreatisi s
- complications like bowel obstruction, perforation
- pseudocysts
management of uncomplicated pancreatitis
FLUIDS AND CORRECT ELECTROLYTES
pseudocyst complications/symptoms
compress the stomach near
compress dudoenum (bowel obstruction, vomiitng)
compress bile ducts- jaundice
most tumours of pmacreas are located
in head
WHERE IS ZOLLINGER USUALLY LOCATED
pancreas, but can be duodemum
what does zollinger cause
SEVRER ulcers in the stomach or dudoenum
whats often associated with zollinger
MEN
what does VIP DO
its a potent vasodilator
also works on the heart as inotrop and chrntropic
diagnosis of ZES
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.
diagnosis of ZES
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.
Verner-Morrison syndrome
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
