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Lawrence > Pancreas > Flashcards

Pancreas Flashcards

(41 cards)

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1
Q

In ce se transf mugurele pancreatic dorsal

A

Proces uncinat

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2
Q

Din ce se formeaza Wirsung

A

Fuziunea distala a ductelor ventral si dorsal

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3
Q

Cand apare Santorini

A

Cand persista portiunea distala a canalului dorsal

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4
Q

Ce apare in pancreasul inelar

A

Inel de tesut pancreatic in jurul D2

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5
Q

Ramurile trunchiului celiac

A
  1. A gastrica stg
  2. A hepatica comuna
  3. A splenica
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6
Q

Ce vascularizeaza capul pancreatic

A

Trunchiul celiac -> AGD -> artere pancreaticoduodenale sup

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7
Q

Daca lipseste artera hepatica dr, ce vascularizeaza lobul dr al ficatului

A

AMS

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8
Q

Daca trunchiul celiac vasc protenteronul, cine vasc mezenteronul

A

AMS

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9
Q

Inervatia simpatica

A

Marele nv splanhnic

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10
Q

Singura enzima secretata in forma activa

A

Amilaza

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11
Q

Cele mai frecv cauze de PA

A
  1. Alcool

2. Calculi biliari

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12
Q

Criterii de dg pt PA (2/3)

A
  1. Semne + simpt
  2. Amilaze / lipaze crescute
  3. CT
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13
Q

Med care favorizeaza apritia PA

A
  1. Corticosteroizi
  2. Diuretice tiazidice
  3. Furosemid
  4. Estrogeni
  5. AZA
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14
Q

Semnul Grey Turner si Cullen

A
  1. GT - hematom pe flancuri
  2. C - echimoza periombilicala

In hemoragia retroperitoneala

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15
Q

Dg dif in PA

A
  1. Colecistita acuta
  2. Ulcer peptic perforat
  3. Ischemie acuta mezenterica
  4. Perforatie esofagiana
  5. Infarct miocardic
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16
Q

Explorari imag in PA

A
  1. Rx tor si abd
  2. Eco
  3. CT
  4. MRCP
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17
Q

Stadializare CT in PA

Study These Flashcards
A 
A - normal
B - Crestere in dimensiuni
C - Inflamatie
D - 1 colectie fluida
E - >= 2 colectii fluide /  aer
18
Q

Complicatii sistemice in PA severa

Study These Flashcards
A
  1. Soc
  2. Insuf pulm
  3. Insuf renala
  4. Hemoragie dig
  5. CID
  6. Tulb metabl severe
19
Q

Cea mai frecv complicatie in PA

Study These Flashcards
A

Colectii fluide

20
Q

Tratament psudochisturi pancreatice

Study These Flashcards
A
  1. Comunicant -> drenaj int - stomac, duoden, ansa roux

2. Necomunicant -> aspirare, drenaj ext (percutanat)

21
Q

Durerea in PC

Study These Flashcards
A
  • cronica, surda
  • epigastrica
  • ir post
  • initial intermitenta -> constanta
  • agravata de mancare
22
Q

Insuficieanta endocrina si exocrina

Study These Flashcards
A
  1. Malabsorbtie
  2. Diabet
  3. Deficienta de vit liposol
  4. Malnutritie
23
Q

CT in PC

Study These Flashcards
A
  1. Atrofie
  2. Inflamatie
  3. Mase tumorale
  4. Colectii fluide / pseudochisturi
  5. Dilatarea ductelor pancreatice
  6. Calcificari
24
Q

Unde este indicata rezectia in PC

Study These Flashcards
A

Ducte nedilatate

25
Tipuri de rezectii in trat chir al PC
1. Duodenopancreatectomie cefalica 2. Pancreatectomie disala 3. Rezectia capului cu prezervarea duodenului
26
Criterii de rezecabilitate a unui cancer pancreatic
1. Absenta diseminarii la distanta 2. Abs ascitei 3. Abs invaziei VMS, VP, AMS, a hep, vena cava, aorta
27
Cea mai frecv mutatie in cancerul pancreatic
K ras
28
Tumori premaligne
1. Adenom mucinos 2. Neoplasm mucinos chistic 3. IPMN 4. Neoplasm solid pseudopapilar (Hamoudi)
29
Primul simptom in tumorile corporeo-caudale
Durerea de spate
30
Factori de prognostic neg in cancerul pancreatic
1. Met ggl 2. tumori > 3 cm 3. Invazie perineurala
31
Cea mai frecventa tumora functionala
Insulinom
32
Unde sunt localizate majoritatea insulinoamelor
Corp si coada
33
Criterii de dg insulinom (6)
1. Glicemie <= 45 2. Insulina >= 36 3. Peptid C >= 200 4. Proinsulina >= 5 5. Beta hidroxibutirat <= 2,7 6. Abs sulfonilureei
34
Valoare glucagonului in glucagonom
500 - 1000 pg/ml
35
Triada din VIPom
1. Diaree apoasa 2. HipoK 3. Hipoclorhidrie
36
Ce ajuta in boala metastatica in glocagonom si VIPom
Octreotid
37
Hormoni inhibati de somatostatina
1. STH 2. Gastrina 3. Insulina 4. Glucagon
38
In ce chisturi e ACE crescut
1. Chistadenom mucinos 2. Chistadenocarcinom mucinos 3. IPMN
39
Chisturi fara mitoze
Chistadenom seros si mucinos
40
In ce chist sunt amilazele scazute
Chistadenocarcinom seros
41
In ce chisturi exista stroma ovariana
Cele 2 mucinoase

Lawrence (9 decks)

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