Pancreatitis Flashcards
1
Q
What vein runs behind the neck of the pancreas?
A
Superior mesenteric vein which connected with splenic vein to form hepatic portal vein
2
Q
Why is the duodenum removed with the head of the pancreas?
A
Share same blood supply from the gastroduodenal artery
3
Q
What is involved in a Whipple?
A
pancreaticoduodenectomy
- head pancreas
- duodenum
- gallbladder and cystic dutc
- bile duct
4
Q
What anastomoses are made after a whipple
A
Gastrojejunostomy
choledocho-jejunostomy
pancreaticojejunostomy
5
Q
Name the enzymes produced by the pancreas
A
Amylase Lipase Trypsin Chemotrypsin Carboxypeptidase
6
Q
Most common causes of acute pancreatitis
A
Alcohol abuse
gallstones
idiopathy
7
Q
signs of necrotising pancreatitis
A
Grey turners and cullers sign
8
Q
Sign of pancreatitis on abdo Xray
A
Sentinel loops
dilated loops of small bowel due to a dynamic ileus
9
Q
Prognostic indicator of acute pancreatitis
A
tail of pancreas inflamed => severe Glasgow Imrie score 1-2 mild >3 severe -> HDU PaO2 <8kPa Age >55 Neutrophils increased bcc >15x10^9 Calcium low <2mmol/L Renal fun urea >16 Enzymes LDH >600, AST >200 Albumin <3.2g/dL Sugars glucose >10
