pancreas Flashcards
what are the exocrine cells in the pancrease
anicar and duct cells
what do anicar cells secrete
tripsin, chymotripsin, lipases for digestion
what do the duct cells secrete
bicarbonate for neutralisation
what are the endocrine cells
islet cells of langerhan: alpha = glucagon, beta = insulin and delta = somastain
what can cause pancreastitis
‘I get smashed’, idiopathic, gallstones, ethanol, ERCP, scorpion, autoimmune
what are the symptoms of pancreatitis
severe epi pain that radiates to back, nausea and vomiting
what are the signs of pancreaitis
erythema abigne, cullen’s, grey’s turners (bruises on abdo and ubilical)
what are the investigations of pancreatitis
USS = best, bloods, CT for severity, glasgow
what complications can occur from pancreatitis
necrosis, abscess, shock, pseudocyst
how do you manage acute pancreatitis
analgesia and AB’s
what is a pseudocyst
biliary obstruction with or without outflow obstruction
what are the symptoms of a pseuodocyst
pain, nausea, vom and wt loss, treat with drain
how do you treat and diagnosis an abscess and necrosis
CT/ USS, drain
what is chronic pancreatitis
progressive and irreversible damage leading to loss of function
how do you diagnose chronic pancreatitis
CT and CXR
