pancreatic disease Flashcards

1
Q

presentation of pancreatic disease

A

obstructive jaundice

diabetes
abdominal pain 
anorexia
vomiting 
weight loss
recurrent bouts pancreatitis
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2
Q

pancreatic disease investigation

A

blood tests

CXR

CT scan

laparoscopy

peritoneal cytology

percutaneous needle biopsy

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3
Q

palliative drainage of obstructive jaundice

A

palliative bypass vs ERCP

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4
Q

palliative drainage of duodenal obstruction

A

palliative bypass vs duodenal stent

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5
Q

what is acute pancreatitis?

A

an acute inflammatory process of the pancreas characterized by irreversible morphological changes leading to chronic pain and / or impairment of endocrine and exocrine function of the pancreas.

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6
Q

Mild AP

A

associated with minimal organ dysfunction and uneventful recovery

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7
Q

severe AP

A

associated with organ failure or local complication

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8
Q

local complications of AP

A

acute fluid collections

pseudocyst

pancreatic abscess

pancreatic necrosis

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9
Q

AP aetiology

A

gall stones

alochol

viral infections (mumps)

tumours

anatomical abnormalities

ERCP

hypercalcemia

drugs

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10
Q

ERCP (endoscopic retrograde cholangiopancreatography)

A

is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope—a long, flexible, lighted tube

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11
Q

AP can be monitored in stages by the ….. criteria

A

glasgow criteria

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12
Q

CT scanning in AP can be useful in detecting complications such as

A

acute fluid collections

abscess

necrosis

monitoring progress of disease

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13
Q

Management of necrosis in AP

A

laparotomy

necrosectomy

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14
Q

causes of Chronic pancreatitis

obstruction of MPD

A

tumour (adenocarcinoma)

sphincter off oddi dysfunction

pancreatic divisum

duodenal onstruction

trauma

structure

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15
Q

causes of Chronic pancreatitis

genetic

A

CFTR

PRSS1

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16
Q

Chronic pancreatitis clinical features

A

pain

pancreatic exocrine insufficiency

diabetes

jaundice

duodenal onstruction

upper GI haemorrhage

17
Q

CP investigations

A

CT scan

ERCP

faecal/serum enzymes

diagnostic enzymes replacement

18
Q

CP investigations

A

CT scan

ERCP

faecal/serum enzymes

diagnostic enzymes replacement

19
Q

CP management

A

counselling

no alcohol

analgesia

low fat diet

20
Q

CP surgery complications

A

pancreatic duct stenosis

cyst

biliary tract obstruction

splenic vein thrombosis

portal vein compression

duodenal stenosis

colonic stricture

21
Q

CP interventional procedures

A

stenosis (endoscopic sphincetortomy)

managing chronic pseudocyst

thoracoscopic