Pancreatitis PP Flashcards
What are the two common causes of acute pancreatitis?
biliary disease and alcoholism
What are the symptoms of acute pancreatitis?
sudden onset of abdomen pain, n/v and h/x of gallstones and alcoholism
Sonographic findings of acute pancreatitis?
hypoechoic, swollen, harder to find borders, compressed IVC, and fluid collection
What is something that happens with acute pancreatitis that can mimic a mass?
there is sometimes a hypoechoic tail…don’t mistake for mass
What is a fluid collection that is common in acute pancreatitis?
psuedocyst
What happens with hemorrhagic pancreatitis?
pancreatic enzymes are released, necrosis of tissue and rupture of blood vessels.
Phlegmonous pancreatitis is?
the inflammation from released pancreatitic enzymes with irregular borders and hypoechoic
What are pancreatic abcesses usually caused from?
post-surgical pancreatitis or infection from another area.
What are some causes of chronic pancreatitis?
biliary disease alcoholism hypercalcemia hyper lipidemia acute pancreatitis
What are the symptoms of chronic pancreatitis?
severe abdomen pain, jaundice and weight loss, diabetes, and fatty stools.
What labs will be increased with chronic pancreatitis?
panc enzymes
What will chronic pancreatitis look like on US?
small, echogenic, irregular borders, w/ calcifications
What are causes of a pancreatic pseudocyst?
pancreatitis and trauma
What labs will be elevated
panc enzymes and alk phos
Most common location for pseudocyst?
lesser sac
What is the sonographic findings of a pseudocyst?
well defined, anechoic, debri and enhancement. Sometimes will have septations
Patients with a pseudocyst are at risk for the cyst to _____ and cause ______
rupture and cause ascites
name soem multiple cystic lesions in the pancreas?
- polycystic
- Von-Hippel-Lindau
- Cystic fibrosis
What is the cause of adenocarcinoma?
unknown
What are the labs for adenocarcinoma??
depends on location of tumor
Symptoms of adenocarcinoma?
weight loss, n/v, back abdomen pain, decreased appetite and painless jaundice
What kind of adenocarcinoma is made up of mucin and has a cystic appearance and possibly calcifications?
mucinous adenocarcinoma
Is is common to have mets to the pancreas
t/f
FALSE
rare.
What is the most common parapancreatic malignancy?
lymphomas
