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Flashcards in Pancreas Deck (15):
1

What are the 3 main types of pancreatic disease?

Acute pancreatitis
Chronic pancreatitis
Pancreatic tumours

2

What can cause pancreatitis?

Biliary disease
Pancreatic tumours
Alcohol
Infection
Hyperparathyroidism
Hyperlipoproteinaemia
Trauma
Drugs
Iatrogenic
Inflammatory

3

How can you diagnose severe acute pancreatitis?

PaO2 55years
Neutrophils WBC>15x10^9/l
Calcium 16mmol/l
Enzymes AST/ALT>200iu/L
Albumin
Sugar Glucose>10mmol/L

4

What are the symptoms of acute pancreatitis?

Epigastric/Abdominal pain with/without radiation to the back
Nausea/emesis
Indigestion
Tenderness
Anorexia/weight loss
Pyrexia
Jaundice

5

What local complications can arise from acute pancreatitis?

Fluid collection
Pseudocysts
Abscess
Necrosis
Ascites
Pleural effusion

6

What systemic complications can arise from acute pancreatitis?

Pulmonary failure
Renal failure
Shock
Sepsis
Metabolic acidosis
Hyperglycaemia
Hypoglycaemia

7

What can cause chronic pancreatitis?

Alcohol abuse

8

What complications can arise from pancreatitis?

Splenic vein thrombosis
Pseudoaneurysms
Pancreatic cancer
Pleaural effusion
Pancreatic ascites
Bile duct or duodenal obstruction
Pseudocyst

9

What is the correct name for exocrine pancreatic cancer?

Adenocarcinoma - Occurs in head, body or tail

10

What are the 3 types of endocrine pancreatic cancer?

Gastrinoma
Insulinoma
Glucagonoma

11

What are the symptoms of pancreatic cancer?

Jaundice, weight loss, back/abdo pain

12

What are the risk factors for pancreatic cancer?

Smoking
Drinking
Charred meat
Obesity
Diabetes

13

What is the first line investigation for pancreatic cancer?

Ultrasound

14

How can you stage pancreatic cancer?

T: Grading based on size
N: has the cancer spread to the lymph nodes?
M: Has the cancer metastasised?

15

What does the whipple procedure remove?

The head of the pancreas