Pancreatitis and GB Flashcards Preview

T4- Systemic Patho > Pancreatitis and GB > Flashcards

Flashcards in Pancreatitis and GB Deck (32):
1

What are the two types of Cholelithiasis?
What are their features?

Mixed stones:
* Pure cholesterol or
* Cholesterol/ bilirubin/
Ca+ carbonate

Pigment Stones:
* Jet black
* suggest extravascular
hemolytic anemia (ex:
sickle cell)

2

Indicidence of Cholelithiasis

• 40- 60 y/o
• (f)
• Native American

3

Predisposing factors of Cholelithiasis

Predisposing factors:
• DM
• Cirrhosis
• Chronic extravascular hemolysis

4

What are the 4 F's of cholelithiasis

• female
• forty
• fat
• fertile

5

What ducts can be obstructed in a cholelithiasis

cystic duct
common bile duct

6

cholelithiasis can predispose a person to ____

BG CA

7

Complications of ____ can cause:

• Obstruction (cystic duct or common bile duct)
• Acute Cholecystitis
• Biliary fistula to the ileus

Cholelithiasis

8

_______: Inflam of the GB

Cholecystitis

9

Indicdence of Cholecystitis

women

10

What is the MCC of cholecystitis

impacted stone of the cystic duct

11

_______: Chem irritation of the mucosa due to incr bile concentration → leads to bact. Invasion

cholecystitis

12

MC bact. that effects cholecystitis

E. Coli

13

What is the difference btw acute and chronic Cholecystitis

Acute: Necrosis and fibrosuppurative exudate

Chronic: Contracted GB, thick gray white wall

14

acute cholystitis: there is pn in _____ after eating
location of pn: _____

Chronic: pn in _____ after eating

acute: 15-30 min at the R. shoulder

Chronic: 1 to 2 hrs

15

MC CA tumor of the GB

at the biliary tree
- adenocarcinoma

16

Incidence of CA of the GB

woman 50+

17

_____: Systemic disorder of exocrine gland secretion in infants

cystic fibrosis

18

incidence of cystic fibrosis

caucasion
infancy

19

Etiology of Cystic fibrosis

autosomal recessive
on chromosome 7

20

What structures will atrophy during cystic fibrosis

ductal and acinar tissue

21

A clinical finding of cystic fibrosis is ___

recurrent pulm infection

22

Lab test for cystic fibrosis

sweat test

23

___: Necrosis of the pancreas caused by release of activated pancreatic enzymes

Acute pancreatitis

24

Incidence of Acute pancreatitis

alcoholism and GB dx

25

____: obstruction of duct → bile reflux → accumulation of pancreatic enzymes = Acinar cell injury

acute pancreatitis

26

What type of necrosis will be seen in acute pancreatitis

Enzymatic necrosis = coagulation necrosis

27

What type of pn will be experienced in acute pancreatitis

Midepigastric pn: through back to the periumbilical area

28

___ sign & ___ sign seen in acute pancreatitis

grey turner's sign
cullen's sign

29

Mortality in acute pancreatitis is due to ____

ARDS

30

Cause of chronic pancreatitis in adults vs children

• MC: ass. w/ alcohol abuse
• MC in children: cystic fibrosis

31

chronic pancreatitis will have ducts dilated in "____"

Chain of lakes

32

MC complaint of chronic pancreatitis

persistent pn in the epigastric region

(malabsorption w/ steatorrhea)