Pancreas Flashcards
How much enzymic HCO3- rich fluid does the pancreas produce per day
2L
What stimulates the release of enzymic HCO3- rich fluid from the pancreas
Cholecystokinin (CKK)
Secretin
What cell produces secretin and where
S-cells in the duodenum
What does secretin do
Controls gastric acid secretion and buffering with HCO3-
What cell produces CCK and where
I cells in the duodenum
What does CCK do
Causes release of digestive enzymes
Responsible for stimulating digestion of protein and fat
Vasoactive peptide which stimulates the secretion of H2O into the pancreatic system
D1
Criteria for metabolic syndrome
Fasting Hyperglycaemia (>6mmol/l) Hypertension (>140/90mmHg) Microalbuminuria Central obesity (>94cm M, >80cm F) Dyslipidaemia (decrease HDL <1mmol/l AND increased TG >2mmol/l)
Diagnosis of diabetes mellitus
Fasting plasma glucose = >7mmol/l
Random blood glucose = >11.1 mmol/l
Renal complication of diabetes
Glomerulonephritis
Pyelonephritis
What scoring scale used for acute pancreatitis
GLASGOW scale
What score on Glasgow scale means patient should be referred to ITU
Score of 3 or more
I GETSMASHED
Idiopathic Gallstones Ethanol Trauma Steroids Mumps Autoimmune Scorpion venom Hyperlipidaemia ERCP Drugs e.g. thiazides
Most common cause of acute pancreatitis
Gallstones
50% in the U.K. due to this
The most common WORLDWIDE cause of acute pancreatitis
Alcohol
