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10 Cards in this Set

  • Front
  • Back

Between amylase and lipase, ______ is more specific for acute pancreatitis

Lipase

Choice of broad spectrum antibiotics for severe pancreatitis

Imipinem/cilastatin

A 40 year old alcoholic male is admitted with severe epigastric pain radiating to the back. Serum amylase level is reported as normal, but serum lipase is elevated. Serum is noted to be milky in appearance. Diagnosis of pancreatitits is made. Serum amylase is normal because

The patient has hyperlipidemia

Primary pathologic process in chronic and acute pancreatitis

Chronic- Alcohol


Acute- gallstones

In chronic pancreatitis, ______ is done if fibrosis/stricture is limited to head and neck while ______ is done if fibrosis/stricture is more on body and tail

Sphincterotomy/plasty
Puestow-Gillesby procedure

Pseudocyst of the pancreas that is more than ____ cm and persists for more than _____ should be treated surgically (best by internal drainage)

6cm


more than 6 weeks

Most common type of pancreatic tumor and its common site

Adenocarcinoma


Head of pancreas

The only definitive and potentially curative treatment of periampullary carcinoma

Whipple's surgery

Whipple's triad seen in Insulinoma

Symptomatic fasting hypoglycemia


Serum glucose <50mg/dL


Relief of symptoms with glucose administration

Insulinoma is treated with simple enucleation except when ______ and ______, wherein Whipple's procedure is done instead

>2cms


Close to main pancreatic duct