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24 Cards in this Set

  • Front
  • Back
name the functions of CCK
released from small bowel stims GB to contract
relaxes sphincter of oddi
what can chronic cholecystitis do to the GB?
Gangrene of GB
what's the most sensitive and specific test for the detection of gallstones?
Ultrasound
what test is used if acute cholecystitis is suspected
HIDA scan
acute cholecystitis is common in which population?
Common in:
Fat
Fertile
Forty
Females
The most sensitive and specific test for cholecystitis (especially acalculus cholecystitis); great to detect obstructions
HIDA
which medication do you NOT give with acute cholecystitis?
Morphine - causes sphincter of Oddi spasms
what are the S/Sx of choledocholithiasis?
Biliary colic
Obstructive jaundice
Intermittent jaundice
Pancreatitis
GB stones in 95% of cases
Normal Labs
Murphy's sign absent
HIDA scan positive

What do you think?
Chronic cholecystitis
this is an autoimmune inflammation of the bile ducts. A rare complication of ulcerative colitis
sclerosing cholangitis
what hormones are produced by the pancreas?
Insulin
Glucagon
Gastrin
Somatostatin
what enzymes are secreted by the pancreas?
Amylase
Lipase
Tripsinogen
What 2 hormones stimulate the pancreas?
Secretin
CCK
What are the 2 main etiologies of acute pancreatitis?
Alcohol
Gallstones
MCC of pancreatitis in men?
Alcohol
Symptoms:
epigastric pain-worse after meals
N/V
feels better leaning forward

What do you suspect?
acute pancreatitis
Name 2 specific signs for pancreatitis and describe them
Cullen sign: discoloration of the periumbilical area

Grey turner sign: flank discoloration
what lab results would you expect with acute pancreatitis?
>serum amylase- goes down in 48 hrs
> Lipase- more specific
> WBC
Hyperglycemia
Hypocalcemia
A patient with a Ranson score of 5 has what % risk of mortality?
40%
MCC of chronic pancreatitis?
Alcohol abuse

In children - Cystic fibrosis
symptoms of epigastric pain
Normal serum amylase
CT shows calcification in the pancreas

What is your diagnosis?
Chronic pancreatitis
where do most pancreatic carcinomas occur?
Ductal region - adenocarcinoma of ampulla
what is Trousseau’s sign
Superficial thrombophlebitis
found in pancreatic carcinoma
what is Courvoisier’s sign
a palpable gallbladder; may be found with pancreatic carcinoma