Podcast
Questions and Answers
Which of the following are diagnostic criteria for acute pancreatitis? (Select all that apply)
Which of the following are diagnostic criteria for acute pancreatitis? (Select all that apply)
Which of the following is NOT a diagnostic criterion for chronic autoimmune pancreatitis?
Which of the following is NOT a diagnostic criterion for chronic autoimmune pancreatitis?
Which methods can be used for diagnosing hemodynamically unstable polytroma patients with suspected bleeding? (Select all that apply)
Which methods can be used for diagnosing hemodynamically unstable polytroma patients with suspected bleeding? (Select all that apply)
Indications for interventional treatment in acute pancreatitis include which of the following? (Select all that apply)
Indications for interventional treatment in acute pancreatitis include which of the following? (Select all that apply)
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Which of the following is included in Charcot's triad?
Which of the following is included in Charcot's triad?
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Which imaging tool is most sensitive for detecting stones in the common bile duct?
Which imaging tool is most sensitive for detecting stones in the common bile duct?
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Which tumor marker is specific for pancreatic adenocarcinoma?
Which tumor marker is specific for pancreatic adenocarcinoma?
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What is the gold standard treatment for acute cholecystitis?
What is the gold standard treatment for acute cholecystitis?
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Study Notes
Diagnostic Criteria for Acute Pancreatitis
- Computed tomography signs of acute pancreatitis
- Three-fold elevation of lipase (from upper normal limit)
- Kidney failure
- Rebound tenderness
- Abdominal pain, vomiting
Diagnostic Criteria for Chronic Autoimmune Pancreatitis
- Positive effect from corticosteroid therapy is not a diagnostic criterion
- Histological findings are not a diagnostic criterion
- Other organ involvement is not a diagnostic criterion
- Microbiological culture is not a diagnostic criterion
Diagnostic Methods for Hemodynamically Unstable Patients with Suspected Bleeding
- MRI angiography
- Contrast-enhanced computed tomography
- FAST ultrasonography
- Diagnostic peritoneal lavage
Indications for Interventional/Surgical Treatment in Acute Pancreatitis
- Gastric outlet obstruction
- Asymptomatic acute peripancreatic fluid collection
- Infected Walled-off necrosis
- Severe pain syndrome
Charcot Triad
- Fever
- Vomiting
- Jaundice
Imaging Tool for Detection of Stones in Common Bile Duct
- Magnetic Resonance Cholangiopancreatography (MRCP)
- Abdominal ultrasound
Tumor Markers Specific for Pancreas Adenocarcinoma
- CA19-9
Indications for Surgical Treatment of Chronic Pancreatitis
- Unresolved pseudocyst (size 9 cm)
- Ductal hypertension with pain syndrome
- Exocrine insufficiency
- Infected pseudocyst (size 4.5 cm)
Acute Cholecystitis Treatment
- Laparoscopic cholecystectomy
Zollinger-Ellison Syndrome Cause
- Gastrinoma
Mild Acute Pancreatitis Characteristics
- Absence of organ failure
- One organ failure that lasts <48 hours
- Acute necrotic collection (confirmed by computed tomography)
Signs of Mechanical Jaundice
- Increased CRP
- Increased liver enzymes
- Dilation of the common bile duct
- Intrahepatic cholestasis
- Increased bilirubin levels
Surgical Treatment Methods for Acute Necrotizing Pancreatitis
- Percutaneous US-guided drainage of fluid collection
- Pancreatoduodenectomy
- Retroperitoneal drainage/necrosectomy
- Distal pancreatectomy
- Endoscopic transgastric drainage of fluid collection
Radical Surgery in Pancreatic Head Ductal Adenocarcinoma
- Pancreatoduodenectomy (Whipple procedure)
Exclusion Criteria for Lethal Trauma Triad
- Hyperthermia
- Tachycardia
- Hypothermia
- Coagulopathy
- Acidosis
Bile Duct Injury Causes
- Misinterpretation of bile duct anatomy
- Lack of surgeon experience
- Increased CRP
- Obesity
Normal Gallbladder Wall Size
- 0.3-0.5 cm
Imaging for Pancreas Head Cancer Diagnosis
- Computed tomography (CT) with intravenous contrast
Acute Cholecystitis Diagnostic Criteria (Tokyo Guidelines 2018)
- Increased CRP
- Right upper abdominal pain
- Dilated gallbladder
- Thickened gallbladder wall
- Fever
- Vomiting
Post-Endoscopic Hemostasis Treatment
- Continuous PPI infusion for 48 hours (or more)
Signs of Shock
- Warm extremities
- Good pulse volume
- Hypertension
- Tachycardia
- Acidosis
Lymph Characteristics
- Product of interstitial fluid, originating from ultrafiltration of plasma in capillaries
- Not a product of ultrafiltration in the lymph nodes, heart, or cristerna chyli
Radical Liver Flexure Adenocarcinoma Operation
- Hemicolectomy
- Hartmann's procedure
- Anterior resection
- Liver flexure resection
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Description
This quiz covers the diagnostic criteria for both acute and chronic autoimmune pancreatitis, alongside the methods for diagnosing unstable patients suspected of bleeding. It also discusses indications for surgical treatment in acute pancreatitis and the signs of Charcot triad. Test your knowledge on these critical medical concepts.
