Flashcards in pancreas quiz 5 Deck (22):
What is the #1 cause of acute pancreatitis?
gallstones (more common in women)
#1 cause of chronic pancreatitis?
alcohol (this is more common in men)
labs for pancreatitis?
serum amylase and lipase 3 times higher than normal
shrinks, fibrotic, fat necrosis
what is most common type of pancreatic cancer?
where does pancreatic adenocarcinoma arise from?
exocrine portion of pancreas
99% from pancreatic ducts
1% from acinar cells
what is prognosis for pancreatic cancer?
4th most common cause of death from cancer worldwide
sequelae of acute/chronic pancreatitis?
pancreatic abscess (infected pseudocyst)
cyst in pancreas with fibrous capsule
- high concentration of pancreatic enzymes
- no epithelial lining on inside (no true epithelium)
infected pseudocyst or fibrous wall forms around fluid collections
- could rupture
- infected with gut bacteria
where would be the worst area of pancreas to have a problem?
What area are you more likely to diagnose early with pancreas?
problems in head of pancreas because it causes earlier jaundice
what can chronic pancreatitis lead to?
increases risk for pancreatic cancer
what bugs does pancreatic abscess contain?
e. coli, klebsiella, pneumoniae, etc
malignant tumors of exocrine pancreas?
hemmorhagic on cut sections
associated mostly with women
hist of pseudopapillary tumors
sheets of cells
cystic areas between tumor cells = "pseudo papillae"
PAS positive eosinophilic cytoplasmic inclusions
most frequent cystic tumors of pancreas and 50% of all cystic tumors
second most common cystic tumor of pancreas. Honeycombed appearance. Benign
What syndrome is are serous cyst adenomas associated with?
von-hippel-lindau syndrome: genetic condition with cysts in pancreas, liver, kidney and hemangiblastomas in cerebellum, spinal cord, etc
what is pancreatic adenocarcinoma associated with?
Trousseau's syndrome of hyper coagulability