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Gastrointestinal > Pancreatitis > Flashcards

Pancreatitis Flashcards

1
Q

What is the sphincter of Oddi?

A
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2
Q

What are the two chemicals that the pancreas secretes?

A

Bicarb

NaCl

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3
Q

Why are pancreatitis patients NPO?

A

Do not want to secrete enzymes

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4
Q

What are the cells of the pancreas that secrete glucagon?

A

Alpha cells

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5
Q

What are the cells of the pancreas that secrete insulin?

A

Beta cells

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6
Q

What do the delta cells of the pancreas secrete?

A

Somatostatin

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7
Q

What do acinar cells of the pancreas secrete?

A

Trypsinogen

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8
Q

What cells of the pancrease secrete the digestive enzymes?

A

Basophilic cells

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9
Q

What are the cells of the pancreas secrete bicarb?

A

Centroacinar cells

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10
Q

What are the top two etiologies of pancreatitis?

A

EtOH (#1 cause in US)

Gallstones (#1 in world)

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11
Q

What is choledocholithiasis?

A

gallstones in the pancreatic duct work

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12
Q

What type of diuretic is linked to pancreatitis?

A

thiazide diuretics

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13
Q

What are the two metabolic conditions that can cause pancreatitis?

A

Hyperlipidemia

Hypercalcemia

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14
Q

Hypercalcemia causes what change in the pancreas that can be visualized on CT?

A

Saponification

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15
Q

What is the parasite that can cause pancreatitis?

A

Ascaris lumbricoides

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16
Q

What are the ssx of pancreatitis?

A

Acute onset abdo pain with radiation to the back

n/v

17
Q

What is cullen’s sign?

A

Periumbilical hematoma secondary to pancreatitis

18
Q

What is gray turner’s sign?

A

Nephro-inflammatory process seen in pancreatitis

19
Q

What is the major problem with US?

A

Cannot see through adipose tissue well

20
Q

What are the labs you should order with suspected pancreatitis?

A

CBC
BMP
Lipase
LFTs

21
Q

Are abx indicated for pancreatitis?

A

Usually no

22
Q

How should you hydrate pancreatitis patients?

A

IVF boluses (5-6 L)

23
Q

What are the synthetic liver functions for labs?

A

Albumin
INR
Total protein

24
Q

What is the function of CRP?

A

Opsonizer

25
Q

What is really, really indicated for pancreatitis?

A

IVF

26
Q

How long does pancreatitis usually resolve with NPO?

A

3-7 days

27
Q

How long does it take for the exocrine functions of the pancreas to normalize following an episode of acute pancreatitis?

A

months

28
Q

What are the three potential endocrine problems with acute pancreatitis?

A

Hypocalcemia
Hyperglycemia
Hypertriglyceridemia

29
Q

What are the surgical indications for acute pancreatitis?

A

Necrosis

Pseudocyst formation

30
Q

What disease can form from acute pancreatitis?

A

DM

31
Q

What type of diet is recommended for chronic pancreatitis?

A

Low fat diet

32
Q

Where does pain radiate with pancreatitis?

A

Back

33
Q

Is there a change in BMs with pancreatitis?

A

Nah

34
Q

What is the PE that should be performed with GI issues?

A

Rectal exam

35
Q

AST:ALT in a 2:1 ratio is suggestive of what?

A

EtOH caused liver disease

Gastrointestinal (42 decks)

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