Surgery 2. Pancreas Flashcards
MC congenital anomaly of pancreases :- Failure of fusion :- Increase risk of :- CF :- Diagnosis :- Management:- If increased risk of pancreatitis :-
323
Annular pancreas :- Due to :- Encashment of :- CF :- X ray :- Diagnosis :- IOC :- Management:-
323
Milwaukee classification is for :-
323
Sphincter of oddi dysfunction Cause :- 1. 2. Diagnosis :- IOC :- 2:-
Milwaukee classification:-
Type 1 (MC) :-
Type 2 :-
Type 3 :-
Management
Type 1:-
324
Acute pancreatitis MC cause :- 2nd MC cause :- MC cause in children :- Drugs causing acute pancreatitis 1. 2. 3. 4. Other causes :-
324
CF of acute pancreatitis
Pain type :-
Relieved by :-
Other :-
325
Signs seen in acute pancreatitis 1. 2. 3. 4. 5.
325
Acute pancreatitis
1. 1st inv :-
Sensitive and specific :-
In acute pancreatitis:-
Not predictive of :-325
Non specific signs on X ray :- 1. 2. 3. 4.
325
IOC :-
Ideally done :-
If done before :-
Sevirity index by CT is :-
326
Assessment of severity of acute pancreatitis
At time of admission 1. 2. 24 hr following admissions \:- At 48 hr of admission 1. 2. 3.
326
Criteria’s for Acute pancreatitis 1. 2. 3. 4. 5. 6. 7. 8. 9.
327
Glasgow criteria :-
326
Ransons criteria For :- On admission 1. 2. 3. 4. 5. Within 48 hr of admission 1. 2. 3. 4. 5. 6.
326
Ranson criteria Score less than 3 :- Score 3-5 :- Equal to or > 6 :- > or equal to 3 :-
326
BISAP score B I S A P
BISAP score less than 2 :-
BISAP score =2 :-
BISAP score 3-5 :-
More than or equal to 3 :-
C reactive protein > ,,,,,,,, :- sever
327
APACHE :-
Score 8 or more than 8 :-
APACHIE 0 is for :-
SAPS
HAPS
327
Modified Marshall score :-
327
Balthazar grade :-
Best is :-
6 or more than 6 :-
Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
Pancreatic necrosis 1. 2. 3. 4.
327
Atlanta classification:-
Mild :-
Moderate :-
Sever :-
327
Acute peripancreatic collection :-
- Less than :-
- Seen in :-
- Fluid :-
- Location :-
- Wall :-
328
Acute necrotic collection :-
- Less than :-
- Seen in :-
- Fluid :-
- Location :-
- Wall :-
328
Pseudocyst :-
Seen in :-
Fluid :-
Wall :-
328
Walled off necrosis
Seen in :-
Fluid :-
Wall :-
328
Management of acute pancreatitis 1. 2. 3. 4.
328
Gall stone pancreatitis management:-
328
MC vascular complication following acute pancreatitis :-
MC artery :-
Vascular thrombosis May follow :-
Which vein :-
329
Complication of acute pancreatitis Local with treatment 1. 2. 3. 4. 5. 6.
329
Pseudocyst :- Wall is lined by :- MC cause :- MC site :- Pain in :- Classification for pseudocyst:- IOC :- Management Intervention need if :- 1. 2. 3.
329
D Egedio classification
Type 1 :-
Type 2 :-
Type 3 :-
329
Intervention in pseudocyst :- Page 326 Endoscopic 1. 2. 3. 4. Surgical :- 1. 2. 3. Percutaneous drainage :-
330
MC complication of pseudocyst :-
Mimic as :-
CEA value in cystic fluid :-
330
Chronic pancreatitis
MC cause of chronic pancreatitis :-
Cause of chronic pancreatitis TIGAR - O classification Hereditary cause :- Male to female :- MC symptom :-
Diagnosis of Chronic pancreatitis
HISORT criteria :-
Cf
,,,,,,,,,,,,,preceds ,,,,,,,,,, Manifest as :- Investigation :- 1. 2. 3. 4. Management:- On pancreatigraphy ( ERCP OR MRCP shows) :- Mode of pancreatic enzyme administered:-
Endocrine insufficiency causes :-
1.
2,
Pain Occurs due to :- Stone is mostly of :- IOC :- Gold standard is :- EUS :- Criteria used in chronic pancreatitis:- Management :-
Cause of chronic tropical pancreatitis:- Ingestion of :- Causes :- 1. 2. 3.
331
Interventions done in chronic pancreatitis:- Resection 1. 2. 3. 4.
Decompression procedures
Hybrid ( resection + decompression )
1.
2.
3.
332
Drainage procedure Diameter of MPD 1. 2. Duval is :- Pustows :- Partington and Rochelle :-
332
Resection :-
If restricted to head :-
If restricted to tail :-
Begers procedure :-
Frey’s procedure :-
Pain relief in chronic pancreatitis is done by destroying :-
332
