Pancreatic Disease

Question 1

What is pancreatitis?

Answer 1

an acute inflammatory process in the pancreas

Question 2

Aetiology of pancreatitis?

Answer 2

I GET SMASHED
Idiopathic

Gallstones
Ethanol
Trauma

Steroids
Mumps
Autoimmune
Scorpion bites
Hypercalcaemia
ERCP
Drugs

Question 3

CPx of pancreatits?

Answer 3

acute onset epigastric pain, which radiates to the back
doubled over with pain
nausea and vomiting

Question 4

What are hallmark pancreatitis examination signs on the abdomen?

Answer 4

Cullen’s sign
Grey Turner’s sign
Erythema Abigne

Question 5

Sign of pancreatitis on abdo XR?

Answer 5

enlarged loop of the small bowel -reacts to the pancreatic inflammation

Question 6

Glasgow Criteria of pancreatitis’ severity?

Answer 6

PaO2 <8kPa
Age >55 years
Neutrophils (WBC >15)
Calciium <2mmol/L
Renal funciton (urea > 16mmol/L)
Enzymes (AST/ALT >200iu/L)
A...
S...

Question 7

What is a pseudocyst?

Answer 7

common complication of pancreatits.

Pancreatic contents drain into an external cavity.

Question 8

What is the main type of pancreatic tumour?

Answer 8

Adenocarcinoma (endocrine)

Question 9

What endocrine tumours form in the pancreas?

Answer 9

Gastrinoma
Insulinoma
Glucagonoma

these are rare

Question 10

What is Whipples Procedure?

Answer 10

Resection of the head of the pancreas and the duodenum