Pathoma 11.1 Exocrine Pancreas

Question 1

Dx: Developmental malformation; Pancreas forms ring around the duodenum; Risk of duodenal obstruction

Answer 1

Annular pancreas

Question 2

Complications of acute pancreatitis

Answer 2

Liquefactive necrosis AND fat necrosis of pancreas from autodigestion

Question 3

Common causes of pancreatitis

Answer 3

Alcoholism; Gallstones from contraction of sphincter of Oddi

Question 4

Uncommon causes of pancreatitis:

Answer 4

Trauma; Hypercalcemia (calcium is an activator of enzymes) and hyperlipidemia; Drugs; Mumps; Scorpion sting; Rupture of posterior duodenal ulcer

Question 5

Dx: Elevation of serum lipase and amylase; Epigastric abdominal pain that radiates to the back; Hypocalcemia

Answer 5

Acute pancreatitis

Question 6

Complications of acute pancreatitis

Answer 6

Shock; DIC ARDS Pancreatic abscess Pancreatic pseudocyst

Question 7

Dx: Fibrosis of pancreatic parenchyma secondary to acute pancreatitis

Answer 7

Chronic Pancreatitis Alcoholics and CF patients OR idiopathic

Question 8

Pancreatic insufficiency is associated with

Answer 8

chronic pancreatitis –> no enzymes –> malabsorption w/ steattorhea, fat soluble vitamin deficiencies (A, D, E, K) also seen: dystrophic calcification

Question 9

Risk factors for pancreatic carcinoma

Answer 9

Smoking; Chronic pancreatitis