pancreas Flashcards

(77 cards)

1
Q

average size of pancreas

A

12-18 cm

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2
Q

uncinate process

A

anterior to IVC
posterior to SMV
right lateral to SMA
hook like extension

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3
Q

main pancreatic duct normal diameter

A

<2mm

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4
Q

main pancreatic duct enters into what part of the duodenum

A

the 2nd part

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5
Q

accessory duct drains what

A

drains the head

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6
Q

celiac artery branches

A

left gastric , splenic, and common hepatic artery

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7
Q

the GDA is a branch of

A

the common hepatic artery

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8
Q

insulin is released by the

A

islets of langerhans

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9
Q

which cells release insulin

A

beta cells

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10
Q

which cells release glucagon

A

alpha cells

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11
Q

glycogenesis

A

formation of glycogen from glucose, controlled by insulin

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12
Q

glycogenolysis

A

conversion of glycogen back into glucose

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13
Q

blood sugar levels should not exceed

A

100mg/100dl

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14
Q

acini glands secrete…

A

trypsin, amylase, and lipase

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15
Q

what does amylase do

A

digest carbohydrates

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16
Q

what stimulates pancreatic just production

A

cholecystokinin

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17
Q

delta cells produce….

A

somatostatin

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18
Q

symptoms that indicate a scan for the pancreas

A

epigastric pain
nausea/vomiting
alcoholism
hypoglycemia
hyperinsulinism
hyperglycermia

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19
Q

what is hyperinsulism

A

increased insulin production
less common than diabetes
can be caused by insulinoma
insulin shock

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20
Q

what is hyperglycemia

A

increased blood sugar
diabetes mellitus
diminished rate of insulin secretion
can be hereditary or acquired
diagnosed by blood test urine. test and glucose tolerance

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21
Q

lipase does…?

A

digest fats
increase with acute pancreatitis & ductal obstruction

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22
Q

trypsin increases w/?

A

increase with acute pancreatitis & ductal obstruction

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23
Q

WBC increase with

A

infection

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24
Q

blood glucose increases with

A

decreased pancreas function

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25
land marks for the pancreas
1. Aorta - posterior to body 2. Celiac axis - superior to the head 3. Splenic artery - travels posterior and superior to the body and tail 4.gastroduodenal artery - seen entering the anterior head 5. IVC - posterior to the head/neck 6.Left renal vein - inferior to the body and tail 7. Splenic vein - inferior and posterior to the body and tail 8.Superior mesenteric vein - joins the splenic vein posterior to the head/neck, uncinate process posterior to the confluence
26
pancreas divisum
most common congenital pancreatic anomaly 2 embryonic pancreas buds do not fuse properly separate ductal systems
27
annular pancreas
head surrounds 2nd portion of duodenum complete or partial obstruction of duodenum
28
how cystic fibrosis effects the pancreas
causes pancreas to secrete a thick mucous inhibits exocrine function, decreased lipase levels organ shrinks, duct obstruction may occur
29
pancreas ductal stones
can be associated with biliary obstruction stone in pancreatic duct
30
acute pancreatitis lab values
increased lipase, amylase, WBC decreased hematocrit if bleeding REVERSIBLE CONDITION lipase more specific for pancreatitis
31
most common cause of pancreatitis
biliary tract disease
32
acute pancreatitis symptoms
sudden abdomen pain or back pain nausea vomiting weight loss fever
33
pancreas pseudocyst
accumulation of pancreatic juices that is walled off and appears to be a cyst
34
pancreas phlegmon
solid inflammatory mass that infiltrates surrounding structures
35
acute pancreatitis complication
pseudocyst MOST COMMON phlegmon abscess hemorrhage ascites dilated biliary system
36
sono appearance for chronic pancreatitis
dilated pancreatic duct calcifications in the gland hyperechoic heterogenous irregular
37
chronic pancreatitis lab values
not helpful
38
chronic pancreatitis may develop
jaundice diabetes permanent damage to cells
39
chronic pancreatitis #1 cause
alcohol abuse
40
pancreatic abscess symptoms
fever pain increased WBC
41
pancreatic abscess sono appearance
complex cystic mass ring down artifacts from air produced in bacteria
42
what is a pseudocyst
attempt of the body to to wall off pancreatic juices no epithelial lining
43
where is a pseudocyst most commonly found
lesser sac or anterior pararenal space
44
a pseudocyst can be caused by
trauma carcinoma chronic or acute pancreatitis #1 9 times more common
45
most common benign tumor of the pancreas
islet cell tumor
46
where is a islet cell tumor usually found
body and tail
47
lab values for islet cell tumors
increased amylase and associated hormones with tumor tyoe
48
2 types of islet cell tumors
insulinoma gastrinoma
49
most common islet cell tumor
isulinoma
50
what is insulinoma associated w/
von hippel landau syndrome
51
insulinoma produces ...
hyperinsulinism which causes hypoglycemia
52
gastrinomas secrete the hormone...
gastrin which causes over production of the gastric acid
53
size of a islet cell tumor
<3cm diameter
54
what type of cells is the pancreatic adenoma composed of
beta cells
55
lab values for pancreatic adenoma
increased amylase, lipase
56
sono appearance of pancreatic adenoma
solid posterior enhancement
57
Serous Cystadenoma is usually found in which part of the pancreas
body and tail
58
Serous Cystadenoma microcystic
<2cm tiny cyst
59
Serous Cystadenoma macrocystic
over 2 cm strong risk for malignancy
60
lab values for Serous Cystadenoma
increased amylase
61
sono findings for Serous Cystadenoma
cluster grape like cyst external lobulation thick walls pap projections
62
Mucinous Cystadenoma
usually larger have greater risk for malignant transformation cystic mass w/ debris and calcifications
63
Adenocarcinoma usually occurs in which part of the pancreas
the head
64
Adenocarcinoma risk factors
high fat diet smoking chronic pancreatitis cholangitis diabetes
65
common clinical findings for Adenocarcinoma
palpable GB and obstructive jaundice
66
enzyme levels for Adenocarcinoma
normal
67
90% of Adenocarcinoma originate in the
ductal system
68
sono appearance Adenocarcinoma
mass usually in the head double duct sign courvoisier GB ascites
69
Mucinous Cystadenocarcinoma
slow growing rare
70
Mucinous Cystadenocarcinoma symptoms
jaundice weight loss couvoisier sign abdnominal mss
71
Mucinous Cystadenocarcinoma lab values
increased amylase billirubin and ALP carcinoembryonic antigen
72
where is Mucinous Cystadenocarcinoma most commonly found
body and tail
73
whipple procedure
removal of the head, and sometimes the body of the pancreas, the duodenum and gallbladder, part of the jejunum, stomach, bile duct and lymph nodes near the pancreas
74
most common panc variant
tadpole
75
normal size of the head of pancreas
2-3 cm
76
pancreaticduodenal artery is a branch of the
gda
77
von hippel lindau syndrome
development of benign and malignant tumors