this tooo - biliary tract disease Flashcards
Laparotomy
Large incision in abdomen to examine the organ and structure of the abdomen
Complications of acute cholecystitis
Mucocoele formation
Empyema of gallbladder
Emphysematous cholecystitis
Perforation
Differential diagnosis of RUQ pain
Biliary disease Peptic ulcer Pancreatitis Hepatitis Appendicitis, renal colic, pneumonia, pleurisy and AAA
Cholecystostomy
Emergency treatment to decompress obstructed biliary system in unwell candidates
Islets of Langerhans cells secrete hormones into
Blood
Pancreatic fluid secretions regulated by
Vagus nerve and gastrin levels
I GET SMASHED
Ideopathic, gallstones, ethanol, trauma, steroids, mumps, autoimmune, scorpion, hypercalcaemia/lipidaemia/parathyroidism, ERCP and drugs
Glasgow criteria - PANCREAS
PaO2, Age, Neutrophils, Calcium, Renal function, Enzymes, Albumin, Sugar
Exocrine pancreatic tumours
Adenocarcinoma
Endocrine pancreatic tumours
Gastrinoma
Insulinoma
Glucagonoma
Endocrine tumour causing severe hypoglycaemia
Insulinoma
Endocrine tumour causing diabetes and steatorrhea
Somatostatinoma
Endocrine tumour causing diabetes
Glucagonoma
Endocrine tumour causing severe diarrhoea, hypokalaemia and achlorhydria
Vipoma
Endocrine tumour causing gastric hypersecretion and peptic ulcers
Gastrinoma