11.1 - Exocrine pancreas Flashcards Preview

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Flashcards in 11.1 - Exocrine pancreas Deck (12)
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1
Q

annular pancreas leads to a risk of _________

A

duodenal obstruction

2
Q

acute pancreatitis is due to premature activation of ________

A

trypsin

3
Q

acute pancreatitis leads to ________ necrosis of the pancreas and _________ necrosis of the peripancreatic fat

A
  • liquefactive

- fat

4
Q

why is hypocalcemia seen during acute pancreatitis?

A

calcium is consumed during saponification in fat necrosis

5
Q

what are the complications of acute pancreatitis?

A
  • shock
  • pancreatic pseudocyst
  • pancreatic abscess
  • DIC, ARDS
6
Q

what are the clinical features of chronic pancreatitis?

A
  • epigastric ab pain radiating to back
  • pancreatic insufficiency
  • dystrophic calcification of parenchyma
  • secondary DM
  • increased risk for pancreatic carcinoma
7
Q

“chain of lakes” pattern on pancreas contrast studies is due to what condition? why?

A
  • chronic pancreatitis

- dilatation of pancreatic ducts

8
Q

what are the risk factors for pancreatic carcinoma?

A
  • smoking

- chronic pancreatitis

9
Q

what is the serum marker for pancreatic carcinoma?

A

CA 19-9

10
Q

trousseau syndrome is aka as ___________ and is associated with ______________

A
  • migratory thrombophlebitis

- pancreatic carcinoma

11
Q

how does migratory thrombophlebitis present?

A
  • swelling
  • erythema
  • tenderness in extremities
12
Q

what does the whipple procedure entail?

A

en bloc removal of:

  • head of pancreas
  • neck of pancreas
  • proximal duodenum
  • gall bladder

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