Pancreas Flashcards

1
Q

Most commonly performed surgery to remove tumors in the pancreas

A

Whipples procedure

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2
Q

Surgical maneuver to expose structures in the retroperitoneum behind the duodenum and pancreas

A

Kochers maneuver

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3
Q

Pancreas weight in adult

A

75-100g

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4
Q

Pancreas length in adult

A

15-20 cm

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5
Q

Just behind the head of the pancreas lie

A
  • the vena cava,
  • the right renal artery,
  • and both renal veins
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6
Q

Neck lies directly over the

A

Portal vein

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7
Q

Neck overlies in vertebral body of

A

L1 and L2

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8
Q

At the inferior border of the neck

A

superior mesenteric vein joins the splenicvein as the portal vein

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9
Q

Body and tail lie just anterior to the

A

Splenic artery and vein

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10
Q

Uncinate process wrap around the right side of the

A

Portal vein

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11
Q

Uncinate process end posteriorlynear the space betweenthe ____________ and ____________

A

Superior messentery artery and vein

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12
Q

Venous draining the pancreatic head and uncinateprocess enter along the ___________ and ____________ of the portal vein

A

Right lateral

Posterior sides

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13
Q

from the ventral bud connects to the bile duct

A

Ducts of wirsung

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14
Q

from the larger dorsal bud connects to the duodenum

A

Ducts of santorini

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15
Q

persist as a blind accessory duct -or drain through the lesser papilla

A

Ducts of santorini

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16
Q

Majority drains in to the major papilla

A

Ducts of wirsung

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17
Q

In a minority, ducts remain separate, and the majority of the pancreas drains through the duct of Santorini, a condition referred to as

A

Pancreas divisum

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18
Q

Inferior part of the pancreatic head and posterior to the superior messenteric artery

A

Uncinate process

19
Q

Posterosuperior surface of the head

A

Bile duct

20
Q

Adjacent to the pylorus of the stomach

A

Neck of pancreas

21
Q

Lies to the left of the superior mesenteric vessels.

Posterior to the omental bursa

A

Body of the pancreas

22
Q

Anterior to the left kidney

A

Tail of the pancreas

23
Q

Begins in the tail of the pancreas and runs through the parenchyma to the pancreatic head

A

Main pancreatic duct

24
Q

Pancreatic duct and bile duct unite

A

Hepatopancreatic ampulla

25
Q

Blood supply of the body and tail

A

Splenic artery

26
Q

Blodd supply of the head

A

Anterior and posterior superior pancreaticoduodenal artery.

Anterio and posterior inferior pancreaticoduodenal artery.

27
Q

Origin of anterior and posterior superior pancreaticoduodenal artery

A

Gastroduodenal artery then from common hepatic artey from celiac trunk

28
Q

Origin of anterior and posterior inferior pancreaticoduodenal artery

A

SMA

29
Q

Drainage of pancreas

A

Splenic vein and superior messenteric vein from portal vein

30
Q

Lymphnodes of pancreas

A
Pancreaticosplenic lymphnodes(most)
Pyloric lymph ode( some)
31
Q

Drainage of lymphnodes

A

Superior messenteric lyph nodes, celiac lymphnodes ia hepatic lymph node

32
Q

Nerves of pancreas

A

Vagus and abdomini pelvic splanchnic nerve

33
Q

Para and sympa fibers of pancreas

A

Celiac plexus

Superior messenteric plexus

34
Q

From the splenic artery

A

Dorsal Pancreatic artery, •Great Pancreatic artery •Caudal pancreatic artery

35
Q

Veins usually ________ to the arteries

A

Superficial

36
Q

Venous branches draining the pancreatic head and uncinateprocess enter along the ____________ and _______________ of the portal vein

A

Right lateral

Posterior side

37
Q

Antero/posterosuperior pancreaticoduodenal vein to

A

Portal vein

38
Q

Antero/poster0inferior pancreaticoduodenal vein to

A

Superir messenteric vein

39
Q

Lymphaticscommunicate with lymph nodes in the transverse mesocolonand mesentery of

A

Proximal jejunum

40
Q

rich supply of afferent sensory fibers that travel superiorly to the

A

Celiac ganglia

41
Q

Interruption of these somatic fibers with a ________________ can interfere with transmission of pancreatic pain

A

Celiac plexus block

42
Q

Ultrasound •Pancreas is anterior to the two vessels identified

A

Portal vein and splenic vein

43
Q

PARASYMPATHETIC INCREASES SECRETION OF

A

Insulin and glucagon

44
Q

SYMPATHETIC INCREASES

A

Glucagon but inhibit insulin