Pancreas Flashcards

1
Q

What cells produce glucagon?

A

Alpha cells of the pancreas

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2
Q

What cells produce insulin?

A

Beta cells of the pancreas

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3
Q

What cells produce somatostatin?

A

Delta cells of the pancreas

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4
Q

What is the region of the exocrine pancreas called?

A

Islets of langerhans

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5
Q

What species has Pacinian corpuscles?

A

Cats

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6
Q

Why is pathology of the pancreas so hard to diagnose postmortem?

A

The pancreas rapidly autolysis and it becomes hard to tell if its acute pancreatitis or early autolysis

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7
Q

Lesions of acute pancreatitis

A

Necrosis: acini and fat from free radicals and proteolytic enzymes
Hemorrhage
Inflammation: mainly neutrophils
Saponification: Ca deposits

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7
Q

Predisposing factors of pancreatitis

A

Chronic liver disease: bile reflux to pancreas
Diabetes mellitus
Drugs: corticosteroids, immunosuppressants, estrogens
Intestinal disease (triaditis)
Hyperlipidemia:

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8
Q

Lesions of Chronic Pancreatitis

A

Fibrosis > shrinkage
Poor regeneration of pancreas (nodular)
Atrophy and insufficiency can occur, but rare

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9
Q

Sequelae of pancreatitis

A

SIRS-systemic inflammatory response
-Thromboembolic disease
-DIC
-Pancreatic encephalopathy and neuropathy
-Arrhythmia
-Metabolic Acidosis
-Respiratory distress
-Pancreatic insufficiency

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10
Q

Pancreatic Zinc Toxicity

A

Pennies
Causes hemolysis: nucleated erythrocytes, heinz bodies, spherocytes
Zinc salts formed and distributed to organs including the pancreas

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11
Q

Pancreatic Insufficiency causes and signs

A

Causes: developmental defects
-acinar aplasia/hypoplasia (GSD)
-abnormal ducts
-atrophy: nutritional (Zn tox, Se, Cu deff.), inflammation
Signs: Diarrhea (fatty), Maldigestion, weight loss w/ appetite.

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12
Q

Exocrine pancreatic hypoplasia

A

Greatly diminished exocrine pancreas
Common in GSD and rough coated collies
Autosomal recessive trait

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13
Q

What is carcinomatosis?

A

Seeding of tumor cells through the abdomen or thorax

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14
Q

What is an insulinoma?

A

Tumor secreting insulin inducing hypoglycemia. Common in ferrets.

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15
Q

3 Proposed ways for the pathogenesis of acute pancreatitis

A

Duct obstruction
Acinar cell injury (alcohol, drugs, trauma, ischemia, viruses etc), defective intracellular transport

All lead to activated enzymes and : interstitial inflammation and edema, proteolysis, fat necrosis, damage to vessels walls/hemorrhage

16
Q

What can cause chronic eosinophilic pancreatitis?

A

Strongylus migration (horse)
Eos can be greenish

17
Q

What is equine multisystemic epitheliotropic eosinophilic disease?

A

Rare, sporadic
Eosinophilic infiltration into a number of organs: exfoliative dermatitis, wasting, ulcerative stomatitis
Tx: steroids forever
R/O glanders