Pancreatitis PP

Question 1

What are the two common causes of acute pancreatitis?

Answer 1

biliary disease and alcoholism

Question 2

What are the symptoms of acute pancreatitis?

Answer 2

sudden onset of abdomen pain, n/v and h/x of gallstones and alcoholism

Question 3

Sonographic findings of acute pancreatitis?

Answer 3

hypoechoic, swollen, harder to find borders, compressed IVC, and fluid collection

Question 4

What is something that happens with acute pancreatitis that can mimic a mass?

Answer 4

there is sometimes a hypoechoic tail…don’t mistake for mass

Question 5

What is a fluid collection that is common in acute pancreatitis?

Answer 5

psuedocyst

Question 6

What happens with hemorrhagic pancreatitis?

Answer 6

pancreatic enzymes are released, necrosis of tissue and rupture of blood vessels.

Question 7

Phlegmonous pancreatitis is?

Answer 7

the inflammation from released pancreatitic enzymes with irregular borders and hypoechoic

Question 8

What are pancreatic abcesses usually caused from?

Answer 8

post-surgical pancreatitis or infection from another area.

Question 9

What are some causes of chronic pancreatitis?

Answer 9

biliary disease
alcoholism
hypercalcemia
hyper lipidemia
acute pancreatitis

Question 10

What are the symptoms of chronic pancreatitis?

Answer 10

severe abdomen pain, jaundice and weight loss, diabetes, and fatty stools.

Question 11

What labs will be increased with chronic pancreatitis?

Answer 11

panc enzymes

Question 12

What will chronic pancreatitis look like on US?

Answer 12

small, echogenic, irregular borders, w/ calcifications

Question 13

What are causes of a pancreatic pseudocyst?

Answer 13

pancreatitis and trauma

Question 14

What labs will be elevated

Answer 14

panc enzymes and alk phos

Question 15

Most common location for pseudocyst?

Answer 15

lesser sac

Question 16

What is the sonographic findings of a pseudocyst?

Answer 16

well defined, anechoic, debri and enhancement. Sometimes will have septations

Question 17

Patients with a pseudocyst are at risk for the cyst to _____ and cause ______

Answer 17

rupture and cause ascites

Question 18

name soem multiple cystic lesions in the pancreas?

Answer 18

• polycystic
• Von-Hippel-Lindau
• Cystic fibrosis

Question 19

What is the cause of adenocarcinoma?

Answer 19

unknown

Question 20

What are the labs for adenocarcinoma??

Answer 20

depends on location of tumor

Question 21

Symptoms of adenocarcinoma?

Answer 21

weight loss, n/v, back abdomen pain, decreased appetite and painless jaundice

Question 22

What kind of adenocarcinoma is made up of mucin and has a cystic appearance and possibly calcifications?

Answer 22

mucinous adenocarcinoma

Question 23

Is is common to have mets to the pancreas

t/f

Answer 23

FALSE

rare.

Question 24

What is the most common parapancreatic malignancy?

Answer 24

lymphomas