Please enable JavaScript.
Coggle requires JavaScript to display documents.
Pancreas - Coggle Diagram
Pancreas
Pancreatic pseudocyst
C/P
Small
Large
Inv.
EUS & aspiration
CT
Pathology
Site
Complications
Etiology
Nature
TTT
Surgical drainage
Endoscopic drainage
Resolve
Pancreatic neoplasm
Types
Endocrine
(APUD cells)
Non- Beta
Alpha
Delta
Beta
Exocrine
Malignant
Benign
Pancreatic adenocarcinoma
Pathology
Microscopic
Spread
Gross
Etiology
DD
Hepatocellular
Hemolytic
Obstructive
C/P
Carcinoma of head
Carcinoma of
body & tail
Inv.
TTT
Fit pt.
Unfit pt.
Insulinoma
Pathology
Inv.
TTT
C/P
Gastrinoma
Pancreatitis
Acute
Clinical picture
Symptoms
Acute upp. abd. pain
Vomitting
Signs
General
Hypovolemic scock
Sits leaning forword
fever & tachycardia
Tinge of jaundice
Local
Mild tenderness
& rigidity
Cullin's sign
Gray turner's sign
Pancreatic
pseudocyst
DD
Acute MVO
Acute cholecystitis
Leaking AA
Perforated PU
Acute MI
Inv.
Laboratory
Serum
lipase
Urinary
amylase
ABG
Serum
amylase
Biochemical
changes
Bl. picture
Imaging
Abd. US
CT e' IV contrast
Plain X-ray
MRCP
Complications
Systemic
Renal failure
Consumption
coagulopathy
ARDS
Paralytic ileus
Scock
Tetany
Local
Pancreatic
pseudocyst
Pancreatic
abscess (4.5%)
TTT
Conservative
5 Rs
ERCP
2 Rs
Surgry
Necrotic tissue excision
Drainage of pancreatic abscess
or pancreatic pseudocyst
Pathology
Gross
Heamorrhagic
Necrotizing
Catarrhal
Pathogenesis
Etiology
Trauma
Rare causes
Excess alcohol
intake (35%)
Idiopathic
Bile duct
stone (50%)
Severity assessment
Ranson's criteria
On admession
Initial 48h.
Chronic
Etiology
Excess alcohol
CBD stone
Inv.
Laboratory
Glucose tolerence test
Lund test
LFTs
Fecal fat excretion
Imaging
Plain x-ray
US & CT
ERCP
Chain of lakes
EUS
MRCP
Pathology
Fibrous replacement
of acinar cells
Exocrine & endocrine
function loss
P. duct stricture
Obstructive jaundice
(few cases)
C/P
Epigastric pain
& tenderness
Malabsorption
e' steatorrhea, wt. loss and weakness
D.M
Malnutrition
& tinge of jaundice (3%)
TTT
Surgery
Conservative
Cong.
Annular pancreas