Gastro Pathology Flashcards Preview

Hugh's MD2 Foundation > Gastro Pathology > Flashcards

Flashcards in Gastro Pathology Deck (17):
1

What might be the Ca findings in acute pancreatitis?

Hypercalcaemia - can be the cause of the pancreatitis

Hypocalcaemia - can be a complication of acute pancreatitis (particularly if severe)

 

1

Upper RQ Pain + Fever + Obstructive jaundice = ???

Cholangitis

2

How are LFTs with pancreatitis?

Deranged with obstructive picture

2

What is Whipple's procedure?

A procedure to remove pancreatic cancer 

- Involves removal of part of the pancreas and duodenum

3

How do you calculate the anion gap?

(Na + K) - (Bicarb + Cl)

4

What system is used to assess pancreatitis severity?

RANSON

4

How must you treat cholangitis?

Resuscitation

Broad spectrum antibiotics

ERCP/Sphinterotomy

5

What can you do if a gall bladder isn't seen on first US?

Have them fast for 18hours so the gall bladder fills more and stones are easier to see

7

What is the pattern of pain in pancreatitis?

Suddeon onset epigastric

Radiating straight through to back

 

8

How do you management pancreatitis?

Supportive therapy

Antibiotics (though no proven benefit)

ERCP and sphincterotomy

Parenteral nutrition

10

How does the pain from biliary colic usually present?

RUQ or epigastric

Sometime radiating around the R to the back

Episodic, lasting 15 minutes

11

What is the pathophysiology of biliary colic?

Stones form in the gall bladder where bile is stationary > 

CCK released in response to fatty meal causes gall bladder contraction > 

Stone blocks cystic duct > 

Contraction against the blockage causes pain 

12

Why might someone with pancreatitis have reduced breath sounds at the lung bases?

Pleural efffusions

13

What is a classic sign of pancreatitis?

Patient lies very still as movement of the lumbar spine will directly irritate the pancreas

15

How are the LFTs in biliary colic?

Normal

16

What might be found on US of abdo in cholangitis?

Stone in gall bladder

Dilated common bile duct

Stone in common bile duct (50% not found)

17

What is the palliative treatment for pancreatic cancer?

Stenting of common bile duct to relieve obstruction

- Metal (non-metastatic)

- Plastic (metastatic)