Pancreatic Carcinoma Flashcards
Pancreatic Carcinoma
cancer of the pancreas
risk factors
older age
diabetes
smoking
Chronic pancreatitis
signs
weight loss
epigastric pain
malaise
symptoms due to the tumour
obstructive painless jaundice
diabetes
steatorrhoea
obstructive painless jaundice symptoms
pale stools
dark urine
priritus
when should you have a suspicion of pancreatic cancer in an elderly patient
if they get diabetes and lose weight
management
if the tumour is resectable:
whipple’s surgery + adjuvant chemo
non-resectable:
ERCP
palliative care
chemo and radio
signs according to location of tumour
head - obstructive jaundice
tail - cholestatic liver enzymes
courvoiser’s sign
jaundice
painless palpable gallbladder
investigations
high resolution CT
endoscopy US
what would be seen on imaging
double duct sign
