Flashcards in Chapter 12 - The Pancreas Fill In The Blanks Deck (26)
The pancreas is located in the _______________ cavity posterior to the stomach, duodenum, and proximal jejunum of the small bowel.
The pancreatic gland appears sonographically _______________ to slightly more _______________ than the hepatic parenchyma.
The major posterior vascular landmarks of the pancreas are the _______________ and _______________.
The head of the pancreas lies _______________ to the IVC.
The _______________ crosses anterior to the uncinate process of the head of the gland and posterior to the neck and body.
The tortuous _______________ is the superior border of the pancreas.
The tail of the pancreas is more difficult to image because it lies anterior to the left kidney and posterior to the left _______________ and _______________.
colic flexure; transverse colon
The _______________ receives tributaries from lobules at right angles and enters the medial second part of the duodenum with the CBD at the ampulla of Vater.
duct of Wirsung
The blood supply for the pancreas is from the _______________ artery and the _______________ arteries.
The _______________ artery is seen along the anterolateral border of the pancreas as it travels a short distance along the anterior aspect of the pancreatic head.
The _______________ duct crosses the anterior aspect of the portal vein to the right of the proper hepatic artery.
The portal vein is _______________ to the IVC.
The pancreas is both a digestive (_______________) and a hormonal (_______________) gland.
digestive (exocrine); hormonal (endocrine)
Failure of the pancreas to furnish sufficient insulin leads to _______________.
Exocrine function is performed by _______________ of the pancreas.
The _______________ is a muscle surrounding the ampulla of Vater that relaxes to allow pancreatic juice and bile to empty into the duodenum.
Sphincter of Oddi
The endocrine function is located in the _______________ in the pancreas.
islets of Langerhans
The beta cells are most prevalent and produce _______________, a hormone that causes glycogen formation from glucose in the liver.
Alpha cells produce _______________, a hormone that causes the cells to release glucose to meet the energy needs of the body.
Delta cells are the smallest composition of endocrine tissue and produce _______________.
There are specific enzymes of the pancreas that may become altered in pancreatic disease, namely _______________ and _______________.
Both amylase and lipase rise at the same rate, but the elevation in _______________ concentration persists for a long period in pancreatitis.
_______________ controls the blood sugar level in the body.
Name the structures that should be identified as landmarks to locate the pancreas.
SMA, SMV, portal vein, splenic vein, Aorta, IVC CBD, GDA, left renal vein, duodenal bulb, posterior wall of the stomach
When the pancreas is enlarged, the anterior border of the _______________ may depict a slight indentation.