Things I keep forgetting Flashcards

1
Q

Borderline Pancreatic cancer

A
  1. NO involvement of Celiac
  2. NO involvement with Hepatic artery BIFUR
  3. Contact CHA
  4. < 180 SMA
  5. > 180 SMV,. PV or < 180 at SMV/PV confluence

Neoadjuvant chemo -> restage –> ? Whipple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

UNRESECTABLE Panc Ca

A
  1. > 180 Celiac
  2. > 180 CHA
  3. > 180 SMA
  4. Occlusion of SMV, PV Confluence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Workup Hypercortisolism

A
  1. 24 hr Urine Cortisol + serum ACTH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cortisol HIGH

ACTH LOW

A

Adrenal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cortisol HIGH

ACTH HIGH

A

Pituatary OR ectopic

  1. dexamethasone supression test
    - -> Cortisol is low –> pituatary
    - -> Cortisol high –> ectopic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

(polydioxanone)

A

PDS. 6-9 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Polyglactin

A

Vicryl 2-3 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

HCC -

when to transplant or resect?

A

Early stage or very early stage.

If you have preserved hepatic function –> then resect.

If you have increased portal pressures w/o any other real diseases –> transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is early or very early stage HCC?

A

Very early - solitary < 2 cm

Early - 1 -3 nodules < 3 cm or one 5-7 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When to ablate for HCC ?

A

Very early or early stage but poor operative candidates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When to chemoembolize?

A

More advanced stage with good liver function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ameobic infections of the liver

1. What is the name?

A

Entameoba histolytica
protozoa
non-flagellated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A hypoattenuating lesion with thickened rind - target, double ring

A

Ameobic abscess.

NO daughter cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ameobic abscess treatment?

A

Flagyl!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

glucagon

A

increases available glucose (glycogenolysis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

liver remnant in normal

A

20%

17
Q

liver remnant in liver

A

30%