Things I keep forgetting Flashcards
Borderline Pancreatic cancer
- NO involvement of Celiac
- NO involvement with Hepatic artery BIFUR
- Contact CHA
- < 180 SMA
- > 180 SMV,. PV or < 180 at SMV/PV confluence
Neoadjuvant chemo -> restage –> ? Whipple
UNRESECTABLE Panc Ca
- > 180 Celiac
- > 180 CHA
- > 180 SMA
- Occlusion of SMV, PV Confluence
Workup Hypercortisolism
- 24 hr Urine Cortisol + serum ACTH
Cortisol HIGH
ACTH LOW
Adrenal
Cortisol HIGH
ACTH HIGH
Pituatary OR ectopic
- dexamethasone supression test
- -> Cortisol is low –> pituatary
- -> Cortisol high –> ectopic
(polydioxanone)
PDS. 6-9 mo
Polyglactin
Vicryl 2-3 mo
HCC -
when to transplant or resect?
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
what is early or very early stage HCC?
Very early - solitary < 2 cm
Early - 1 -3 nodules < 3 cm or one 5-7 cm
When to ablate for HCC ?
Very early or early stage but poor operative candidates
When to chemoembolize?
More advanced stage with good liver function.
ameobic infections of the liver
1. What is the name?
Entameoba histolytica
protozoa
non-flagellated
A hypoattenuating lesion with thickened rind - target, double ring
Ameobic abscess.
NO daughter cysts
Ameobic abscess treatment?
Flagyl!
glucagon
increases available glucose (glycogenolysis)