Pancreas

Question 1

• Secretin effect? cck effect? From where?
• Enterocytes act on? Which acts on?
  1. ) Acute Pancreatitis: Causes? Diagnosis via? (3) 4 complications?
  2. ) Chronic Pancreatitis: Destruction of? Causes? (4) Stool? Pain where? Blood sugars? 4 parts of panc. insuf? Diagnosis? (3) Treatment? (4)
  3. ) 2 most common panc. cancers? (2)
  4. ) Autoimmune: Type of cells? Common in?

Answer 1

• Panc bicarb; GB empty/enzyme release; Duo
• Trypsinogen/ other enzymes
  1. ) Alcohol/Stones; Serum lipase/amylase; ileus, pseudocyst, hemor; ARDS
  2. ) Paranchmyma; Alcohol, CF, Hyperlipid, Hered.; fat; abd; hypo/hyper; Weight loss, steat, anemia (B12), Bleeding VK; Secretin test, ERCP, x ray; Enzyme pills, avoidance, stent; celiac nerve block
  3. ) Adeno > NE of islet cells
  4. ) IgG4 and plasma cells; males

Question 2

• Serous fluid is? Mucus is?
  1. ) Salivary Glands: Acinus makes? Modifies it? Connected by? Has a?
• PNS does what? High blood flow leads to?
• Low flow rate has high? High flow rate has?
  2. ) Pancreas: Secretes enzymes? Duct cells do what?
• High flow rate has high and low what?
• Pancreas molecule? Reg by? Vascular acini? Ductal cells secrete? (2)
• Salvary molecule? Reg by? Vascular acini? Ductal cells?
• Warthins tumor benign of? Pneumonic?
• Mucoepinoid Carc: Malignant? Common?
• Adenoid cystic carc: Swiss cheese? Usually around what?

Answer 2

• proteinaceous; mucus
  1. ) Saliva; striated duct; intercalated duct; myoepithelium
• Increas secretion and vasoldiates
• Absorb NaCl/Excrete K/HCO3; Low osm; Low Na but high bicarb
  2. ) Acninar; produce bicarb
• High bicarb and low Cl-
• NaHCO3; ANS/Endocrine; No; secrete bicarb
• KHCO3; ANS; Yes; High BF = more dilute/imperm. water
• Parotid; War. has lymph and epi
• Yes; most
• Yes; nerve