pancreas Flashcards
pt. present to clinic with epigastric pain that radiates to the upper back,
found lab findings of hyperglycemia, glucosuria, and increase levels of lipase and amylase.
what would be at the top of you differential?
acute pancreatitis
is a pt. has been dx. with acute pancreatitis what should be your list of causes?
top causes are biliary ds. or alcohol.
if a pt. has gallstones and an increase of amylase and lipase in serum what other organ should you check??
pancrease
where would a pancreatic stone be located?
the ampulla of vater
if a child is complaing of epigastric pn. with no indication of ds. and has the clinical findings of pancreatitis what must you rule out?
child abuse or trauma
if a pt. has a chronic representation of pancreatitis what do they have an increased risk for developing?
carcinoma of the pancrease
how would the pancrease look grossly if the person suffered from chronic pancreatitis?
fibrotic tissue, extensive tissue, loss of parenchyme
how would a pancrease look grossly with acute pancreatitis?
pseudocysts, enzymatic necrosis with ca+2 soaps
what is injured in acute pancreatitis?
acinar cells or the ductal epithelial
acinar cells
pt. with chronic pancreatitis will present to the clinic with?
steatoreah, radiating epigastric pn too the back, if late stage pancreatitis –> diabetes
grossly the lab findings of the pancrease would be?
dilated ducts, few remaining islets of langerhans, inflammatory cells, collagenous stroma
carcinoma of the pancrease will present as?
obstructive jaundice, trousseaus sign, epigastric pn. that radiates to the back, anorexia
what would you find elevated in the blood with carcinoma of the pancrease?
CA 19-9 and CEA
where would METS spread of the pancreatic head?
to the liver
where are the sites that pancreatic carcinoma of the head spreads?
bile duct > duodenum
