Pancreatic/Biliary System Flashcards Preview

Medical Conditions II > Pancreatic/Biliary System > Flashcards

Flashcards in Pancreatic/Biliary System Deck (19):
1

the pancrease has ___ & ____ function

-exocrine and endocrine

2

Pancreas Functions

-produce digestive enzymes (exocrine)
-transport digestive enzymes to duodenum
-secrete glucagon & insulin by islet of Langerhans cells

3

Parts of Pancreas

-head
-body
-tail

4

Aging & Pancreas

-increased fibrosis
-increased fatty acid deposits
-atrophy
-function unimpaired/no symptoms until 90% damaged

5

Pancreatic Pathologies

-pancreatitis
-pancreatic cancer
-Diabetes Mellitus

6

Pancreatitis S/Sx

-severe abdominal pain
-radiate to back
-sudden pain development (gallstone pancreatitis)
-developed over weeks=alcoholic
-steady penetrating pain
-nausea/vomiting-->dry heaves

7

Pancreatitis:
pain decreases with

-sitting up and leaning forward
-large doses of parenteral narcotics

8

Pancreatitis:
pain increases with

-coughing
-vigorous movement
-deep breathing

9

Pancreatitis:
More S/Sx

-sweat
-HR 100-140 bpm
-shallow respiration
-temperature variation
-postural hypotension
-may become semi comatose
-stomach displaced anteriorly (disrupts pancreatic duct-->ascites)
-mild to moderate Mm rigidity in upper abdomen
-bowel sounds hypoactive

10

Mild to moderate rigidity in upper abdomen from:

-pancreatitis

11

Pancreatic Cancer Sx

-few symptoms in early stages
-pain in back/stomach (ease after meals)
-weight loss
-bloating stomach
-diarrhea
-nausea
-jaundice

12

Gallbladder Function

-reservoir for bile
-epels bile in response to food
-bile alkalinizes intestinal contents (emulsifies/absorbs/digests fats)

13

Cholecystokinin

-hormone released into bloodstream from duodenum and small intestine that signals bile release

14

Aging & Gallbladder

-releases less bile into intestine
-moderate vigorous physical activity enhances gallbladder function in aging

15

Biliary Pathologies

-Cholelithiasis (gallstones)
-Gallbladder & biliary neoplasms

16

Cholelithiasis S/Sx

-(gallstones)
-abdominal pain
-severe pain
-RUQ pain
-R Shoulder pain
-Muscle guarding
-rebound pain
-(+) Murphy's sign

17

Treatment of Cholelithiasis

-surgical removal

18

Gallbladder & Biliary Neoplasms

-RUQ pain radiating to upper back
-S/Sx of cancer

19

Treatment of gallbladder & biliary neoplasms

-surgical removal
-radiation

-PT: ex's precautions for chemotherapy