Ch 4. Epigastric Pain

Question 1

Most common causes of acute pancreatitis?

Answer 1

Biliary disease and alcoholism

Question 2

Other causes of acute pancreatitis?

Answer 2

trauma, pregnancy, peptic ulcer dz, medications, hereditary

Question 3

Findings associated with chronic pancreatitis?

Answer 3

pseudocyst, cholelithiasis/choledocholithiasis, portal-splenic thrombosis

Question 4

Pseudoycysts may result from:

Answer 4

acute/chronic pancreatitis and trauma to the pancreas

Question 5

Most pseudocyst arise from the ___ and are located in the:

Answer 5

tail; lesser sac

Question 6

Adenocarcinoma most often affects ____ and peak incidence is:

Answer 6

men; 60 - 80

Question 7

Risk factors for adenocarcinoma:

Answer 7

high-fat diet, smoking, chronic pancreatitis, sclerosing cholangitis, hereditary pancreatitis, family hx, and diabetes

Question 8

Indirect sonographic signs of adenocarcinoma:

Answer 8

displacement of surrounding vasculature, Courvoisier’s gallbladder, dilation of bile ducts, sludge, mets

Question 9

Adenocarcinoma occurs more frequenctly in the ___ of the pancreas, and cystadenoma occurs in the _____.

Answer 9

Head; Body/tail

Question 10

Nonfunctioning islet cell tumors have a tendency to be ____, while functioning are ___.

Answer 10

Malignant; benign

Question 11

Two most common functioning islet cell tumors:

Answer 11

insulinomas (obesity, hypogylcemic), and gastrinomas

Question 12

Islet-cell tumors are typically found in:

Answer 12

body/tail

Question 13

Microcystic cystadenoma is always:

Macrocystic is suspicious for:

Answer 13

benign;

malignancy