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Lawrence > Pancreas > Flashcards

Pancreas Flashcards

1
Q

In ce se transf mugurele pancreatic dorsal

A

Proces uncinat

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2
Q

Din ce se formeaza Wirsung

A

Fuziunea distala a ductelor ventral si dorsal

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3
Q

Cand apare Santorini

A

Cand persista portiunea distala a canalului dorsal

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4
Q

Ce apare in pancreasul inelar

A

Inel de tesut pancreatic in jurul D2

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5
Q

Ramurile trunchiului celiac

A
  1. A gastrica stg
  2. A hepatica comuna
  3. A splenica
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6
Q

Ce vascularizeaza capul pancreatic

A

Trunchiul celiac -> AGD -> artere pancreaticoduodenale sup

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7
Q

Daca lipseste artera hepatica dr, ce vascularizeaza lobul dr al ficatului

A

AMS

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8
Q

Daca trunchiul celiac vasc protenteronul, cine vasc mezenteronul

A

AMS

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9
Q

Inervatia simpatica

A

Marele nv splanhnic

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10
Q

Singura enzima secretata in forma activa

A

Amilaza

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11
Q

Cele mai frecv cauze de PA

A
  1. Alcool

2. Calculi biliari

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12
Q

Criterii de dg pt PA (2/3)

A
  1. Semne + simpt
  2. Amilaze / lipaze crescute
  3. CT
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13
Q

Med care favorizeaza apritia PA

A
  1. Corticosteroizi
  2. Diuretice tiazidice
  3. Furosemid
  4. Estrogeni
  5. AZA
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14
Q

Semnul Grey Turner si Cullen

A
  1. GT - hematom pe flancuri
  2. C - echimoza periombilicala

In hemoragia retroperitoneala

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15
Q

Dg dif in PA

A
  1. Colecistita acuta
  2. Ulcer peptic perforat
  3. Ischemie acuta mezenterica
  4. Perforatie esofagiana
  5. Infarct miocardic
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16
Q

Explorari imag in PA

A
  1. Rx tor si abd
  2. Eco
  3. CT
  4. MRCP
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17
Q

Stadializare CT in PA

A 
A - normal
B - Crestere in dimensiuni
C - Inflamatie
D - 1 colectie fluida
E - >= 2 colectii fluide /  aer
18
Q

Complicatii sistemice in PA severa

A
  1. Soc
  2. Insuf pulm
  3. Insuf renala
  4. Hemoragie dig
  5. CID
  6. Tulb metabl severe
19
Q

Cea mai frecv complicatie in PA

A

Colectii fluide

20
Q

Tratament psudochisturi pancreatice

A
  1. Comunicant -> drenaj int - stomac, duoden, ansa roux

2. Necomunicant -> aspirare, drenaj ext (percutanat)

21
Q

Durerea in PC

A
  • cronica, surda
  • epigastrica
  • ir post
  • initial intermitenta -> constanta
  • agravata de mancare
22
Q

Insuficieanta endocrina si exocrina

A
  1. Malabsorbtie
  2. Diabet
  3. Deficienta de vit liposol
  4. Malnutritie
23
Q

CT in PC

A
  1. Atrofie
  2. Inflamatie
  3. Mase tumorale
  4. Colectii fluide / pseudochisturi
  5. Dilatarea ductelor pancreatice
  6. Calcificari
24
Q

Unde este indicata rezectia in PC

A

Ducte nedilatate

25
Q

Tipuri de rezectii in trat chir al PC

A
  1. Duodenopancreatectomie cefalica
  2. Pancreatectomie disala
  3. Rezectia capului cu prezervarea duodenului
26
Q

Criterii de rezecabilitate a unui cancer pancreatic

A
  1. Absenta diseminarii la distanta
  2. Abs ascitei
  3. Abs invaziei VMS, VP, AMS, a hep, vena cava, aorta
27
Q

Cea mai frecv mutatie in cancerul pancreatic

A

K ras

28
Q

Tumori premaligne

A
  1. Adenom mucinos
  2. Neoplasm mucinos chistic
  3. IPMN
  4. Neoplasm solid pseudopapilar (Hamoudi)
29
Q

Primul simptom in tumorile corporeo-caudale

A

Durerea de spate

30
Q

Factori de prognostic neg in cancerul pancreatic

A
  1. Met ggl
  2. tumori > 3 cm
  3. Invazie perineurala
31
Q

Cea mai frecventa tumora functionala

A

Insulinom

32
Q

Unde sunt localizate majoritatea insulinoamelor

A

Corp si coada

33
Q

Criterii de dg insulinom (6)

A
  1. Glicemie <= 45
  2. Insulina >= 36
  3. Peptid C >= 200
  4. Proinsulina >= 5
  5. Beta hidroxibutirat <= 2,7
  6. Abs sulfonilureei
34
Q

Valoare glucagonului in glucagonom

A

500 - 1000 pg/ml

35
Q

Triada din VIPom

A
  1. Diaree apoasa
  2. HipoK
  3. Hipoclorhidrie
36
Q

Ce ajuta in boala metastatica in glocagonom si VIPom

A

Octreotid

37
Q

Hormoni inhibati de somatostatina

A
  1. STH
  2. Gastrina
  3. Insulina
  4. Glucagon
38
Q

In ce chisturi e ACE crescut

A
  1. Chistadenom mucinos
  2. Chistadenocarcinom mucinos
  3. IPMN
39
Q

Chisturi fara mitoze

A

Chistadenom seros si mucinos

40
Q

In ce chist sunt amilazele scazute

A

Chistadenocarcinom seros

41
Q

In ce chisturi exista stroma ovariana

A

Cele 2 mucinoase

Lawrence (9 decks)

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