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24 Cards in this Set
- Front
- Back
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name the functions of CCK
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released from small bowel stims GB to contract
relaxes sphincter of oddi |
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what can chronic cholecystitis do to the GB?
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Gangrene of GB
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what's the most sensitive and specific test for the detection of gallstones?
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Ultrasound
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what test is used if acute cholecystitis is suspected
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HIDA scan
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acute cholecystitis is common in which population?
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Common in:
Fat Fertile Forty Females |
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The most sensitive and specific test for cholecystitis (especially acalculus cholecystitis); great to detect obstructions
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HIDA
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which medication do you NOT give with acute cholecystitis?
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Morphine - causes sphincter of Oddi spasms
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what are the S/Sx of choledocholithiasis?
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Biliary colic
Obstructive jaundice Intermittent jaundice Pancreatitis |
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GB stones in 95% of cases
Normal Labs Murphy's sign absent HIDA scan positive What do you think? |
Chronic cholecystitis
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this is an autoimmune inflammation of the bile ducts. A rare complication of ulcerative colitis
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sclerosing cholangitis
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what hormones are produced by the pancreas?
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Insulin
Glucagon Gastrin Somatostatin |
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what enzymes are secreted by the pancreas?
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Amylase
Lipase Tripsinogen |
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What 2 hormones stimulate the pancreas?
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Secretin
CCK |
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What are the 2 main etiologies of acute pancreatitis?
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Alcohol
Gallstones |
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MCC of pancreatitis in men?
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Alcohol
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Symptoms:
epigastric pain-worse after meals N/V feels better leaning forward What do you suspect? |
acute pancreatitis
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Name 2 specific signs for pancreatitis and describe them
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Cullen sign: discoloration of the periumbilical area
Grey turner sign: flank discoloration |
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what lab results would you expect with acute pancreatitis?
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>serum amylase- goes down in 48 hrs
> Lipase- more specific > WBC Hyperglycemia Hypocalcemia |
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A patient with a Ranson score of 5 has what % risk of mortality?
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40%
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MCC of chronic pancreatitis?
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Alcohol abuse
In children - Cystic fibrosis |
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symptoms of epigastric pain
Normal serum amylase CT shows calcification in the pancreas What is your diagnosis? |
Chronic pancreatitis
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where do most pancreatic carcinomas occur?
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Ductal region - adenocarcinoma of ampulla
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what is Trousseau’s sign
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Superficial thrombophlebitis
found in pancreatic carcinoma |
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what is Courvoisier’s sign
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a palpable gallbladder; may be found with pancreatic carcinoma
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