Pancreatic Disorder

Question 1

Please state the types of pancreatic conditions.

Answer 1

> endocrine: DM type 1 and 2, neuroendocrine tumours, chronic pancreatitis

> exocrine: Acute and chronic pancreatitis, pancreatic Ca

Question 2

What are the causes of acute pancreatitis?

Answer 2

“I GET SMASHED”

{ Idiopathy, Gall stones, Ethanol, Trauma, Steroids, Mumps, Autoimmune, Scorpio Sting, Hyperlipidaemia/ Hypothetmia/ Hypercalcaemia, ERCP/ Emboli, Drugs (diuretics/ azathiopine) }

Question 3

What will be the most obvious sign from blood test for acute pancreatitis?

Answer 3

Increase serum amylase

Question 4

What diagnostic test could be done for Pancreatic conditions?

Answer 4

CT scan

Question 5

What is the sign for chronic pancreatitis?

Answer 5

Steatorrhoea (greasy stool),

Epigastric pain, weight loss

Question 6

What are the signs for acute pancreatitis?

Answer 6

Epigastric pain, vomit, nausea, abdominal distension, bruising “Cullen sign” in abdominal, bruising at umbilical “Grey turner” sign.

Question 7

What are the signs for pancreatic cancer?

Answer 7

“Sister Mary Joseph nodules” (red)- metastatic nodule, jaundice, weigh loss

Question 8

Treatment for pancreatic cancer.

Answer 8

Palliative chemotherapy

ERCP To widen duct and relieve obstruction e.g. Stent