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Flashcards in pancreatic disorders Deck (14)
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1
Q

What are the findings of chronic pancreatitis on labs?

A

mildy elevated amylase/lipase, glycosuria, low fecal elastase

2
Q

What are the findings of acute pancreatitis on AXR?

A
sentinal loop (dilated bowel loop near the pancreas), right colon distention near the pancreas; pleural effusion.
CT may show pseudocyst
3
Q

What are the ransom criteria for increased morality from pancreatitis on admission?

A

GA LAW: glucose >200, AST >250, LDH >350, Age >55, WBC >16,000. High mortality if 3 or more findings

4
Q

What are the findings associated with increased morality from pancreatitis 48 hrs after admission?

A

calcium 10%, PzO2 4, fluide sequestration >6L

5
Q

What is a pancreatic pseudocyst?

A

fluid collection arising from the pancreas made of enzyme-rich fluids in a sac of inflamed membranous tissue

6
Q

How are pancreatic pseudocysts treated?

A

may self resolve, but percutaneous drainage is indicated if persisting beyond 6 wks or if painful/rapidly growing

7
Q

What are the complications of pancreatic pseudocysts?

A

rupture, hemorrhage, abscess formation

8
Q

What is courvoisier sign?

A

palpable, nontender gallbladder often seen in exocrine pancreatic cancer

9
Q

What is trousseau syndrome?

A

migratory thrombophlebitis

10
Q

What are the treatments for insulinoma?

A

surigcal resection, diazoxide or octreotide in non-resectable disease

11
Q

how does a glucagonoma present?

A

may seem like refractory DM. pts may have abd pain, diarrhea, weight loss, exfoliating rash (micratory necrolytic erythema) and other sx of DM. labs show hyperglycemia and increased glucagon

12
Q

What are treatments for a glucagonoma?

A

octreotide, IFN-alpha, chemo, embolization in metastatic disease

13
Q

VIPoma: diagnostic clues

A

watery diarrhea with weakness. incr. serum VIP, secretory diarrhea on stool osmolality testing

14
Q

What disease is likely if you see multiple insulinomas?

A

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