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قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤ » Telegram Web
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Acute pancreatitis
Def : Non bacterial inflammation of pancreas.
بمعني انه لاعنده حراره🔥
ولاعنده WBC ⬆️
أسبابه في اختصار GET SMASHED😁
G ➡️Gallstone طبعا هدي common
E➡️ ethanol🍾🍷
T➡️ Truma🚘🔫
S➡️steroid
M➡️mumpas
A➡️Autoimmune
S➡️🦞🐍
H➡️⬆️ca / paratyroidism
E➡️ ERCp
D➡️💊
C/p: 4sx و 4 sign😁
كيس سيناريو بيجيك هو
شاب منتكس بطنه توجع😭 فيه والالم هدا يسمع في ظهره ويزيد الوجع هدا مع الايكال
وينقص الوجع لما يقعمز🧎 وضعيه منحي ظهره للقدام
Symptom :
1/epigastric pain
2/ 🤮
3/Dehydration
4/ Distenion
Sign:
1/ hypovolomic shock
2/ jaundice
3/ Gry Turner sign هدا تلقاه discoloration of loin skin
4/ Gullen sign هدا تلقاه discoloration around umbilcus
Def : Non bacterial inflammation of pancreas.
بمعني انه لاعنده حراره🔥
ولاعنده WBC ⬆️
أسبابه في اختصار GET SMASHED😁
G ➡️Gallstone طبعا هدي common
E➡️ ethanol🍾🍷
T➡️ Truma🚘🔫
S➡️steroid
M➡️mumpas
A➡️Autoimmune
S➡️🦞🐍
H➡️⬆️ca / paratyroidism
E➡️ ERCp
D➡️💊
C/p: 4sx و 4 sign😁
كيس سيناريو بيجيك هو
شاب منتكس بطنه توجع😭 فيه والالم هدا يسمع في ظهره ويزيد الوجع هدا مع الايكال
وينقص الوجع لما يقعمز🧎 وضعيه منحي ظهره للقدام
Symptom :
1/epigastric pain
2/ 🤮
3/Dehydration
4/ Distenion
Sign:
1/ hypovolomic shock
2/ jaundice
3/ Gry Turner sign هدا تلقاه discoloration of loin skin
4/ Gullen sign هدا تلقاه discoloration around umbilcus
❤6
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Inx🧪🌡:
ويلي 1 inx انديرو فيه هو↩️
_serum amylase/ Lipase➡️😌هداطبعا (more specific ) .
_CBc
_LFT
_U/E/C
_ABG
_U/S ( to exculde stone).
_MRcP/ERCP.
_ A x_ray.
🩻
Criteria for severity:👹
1/ Ranson criteria➡️هدي تحسب في severity و prognosis
_ on admission ➡️احفظوها باختصار في كلمه GA L A W
G⏩ Glucose
A⏩ age
L⏩ LDH
A⏩AST
W⏩WBC
_ within 48 hr ➡️احفظوها باختصار كلمه
CHOBBS
C⏩ ca++
H⏩HCT
O⏩ paO2
B⏩BUN
B⏩Base deficit
S⏩sequestion of fluid
2/Glasco scale➡️هدي تحسب في severity only.
نفس الاولي بس ركزو هنا علي اكتر شي
Neutrophils/ Urea / albumin.
ويلي 1 inx انديرو فيه هو↩️
_serum amylase/ Lipase➡️😌هداطبعا (more specific ) .
_CBc
_LFT
_U/E/C
_ABG
_U/S ( to exculde stone).
_MRcP/ERCP.
_ A x_ray.
🩻
Criteria for severity:👹
1/ Ranson criteria➡️هدي تحسب في severity و prognosis
_ on admission ➡️احفظوها باختصار في كلمه GA L A W
G⏩ Glucose
A⏩ age
L⏩ LDH
A⏩AST
W⏩WBC
_ within 48 hr ➡️احفظوها باختصار كلمه
CHOBBS
C⏩ ca++
H⏩HCT
O⏩ paO2
B⏩BUN
B⏩Base deficit
S⏩sequestion of fluid
2/Glasco scale➡️هدي تحسب في severity only.
نفس الاولي بس ركزو هنا علي اكتر شي
Neutrophils/ Urea / albumin.
❤4
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Mx:🏨💊:
_Admission .
_Npo.
_IVF.
_Analgesia.
_O2.
Complication❌
General➡️hypovolomic shock / paralytic ileus /multiorgan failure.
Local➡️ pancreatic pseudocyst/
Abscess / chronic pancretitas / fistula/ sepsis.
Metabolic ➡️ ca ⬇️
Glucose⬆️
_Admission .
_Npo.
_IVF.
_Analgesia.
_O2.
Complication❌
General➡️hypovolomic shock / paralytic ileus /multiorgan failure.
Local➡️ pancreatic pseudocyst/
Abscess / chronic pancretitas / fistula/ sepsis.
Metabolic ➡️ ca ⬇️
Glucose⬆️
❤5
راجعوا ال Acute Pancreatitis قبل مانبدأ في تنزيل أسئلته ⬆️🙏
باش يرجعلكم ال Mood للقراية 😎
باش يرجعلكم ال Mood للقراية 😎
❤11🔥3
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Cancer of pancreas
Risk factor of pancreas cancer:
_ old age 👨🦳
_🚬
_D.M
_chronic pancretitas 26 fold.
_🍾🍷
Adenoma.
_Genetic.
C.P:👀
_O.j😶
_Vagus pain .
_G.B palpable🍃
_Anorexia.
_Wt loss.
Risk factor of pancreas cancer:
_ old age 👨🦳
_🚬
_D.M
_chronic pancretitas 26 fold.
_🍾🍷
Adenoma.
_Genetic.
C.P:👀
_O.j😶
_Vagus pain .
_G.B palpable🍃
_Anorexia.
_Wt loss.
❤4
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Spread of cancer👹:
_1Local ➡️ CBD
_ 2Regional
ويتضمن الآتي
Artery➡️ SMA /Hepatic /celiac.
Vein➡️ SMV / splenic
Doudenum➡️ IO
Pertioneum➡️ascitis
_3 L.N
_4 Blood.
Inx of cancer🧪:
1/Lab➡️ L.F .T
2/ Radio➡️Trans abdominal U.S .
_ CT scan
_ERCP or PTC.
Ttt🧑⚕:
1/Operable➡️ whipple operation(head).
_ distal pancreatectomy(body / tail).
_total pancreactectomy (whole pancreas).
2/ palitave ttt:
_ERCP stenting.
_Bibosy.
_Chemo و Radiotherapy.
_Drainge surgery.
_1Local ➡️ CBD
_ 2Regional
ويتضمن الآتي
Artery➡️ SMA /Hepatic /celiac.
Vein➡️ SMV / splenic
Doudenum➡️ IO
Pertioneum➡️ascitis
_3 L.N
_4 Blood.
Inx of cancer🧪:
1/Lab➡️ L.F .T
2/ Radio➡️Trans abdominal U.S .
_ CT scan
_ERCP or PTC.
Ttt🧑⚕:
1/Operable➡️ whipple operation(head).
_ distal pancreatectomy(body / tail).
_total pancreactectomy (whole pancreas).
2/ palitave ttt:
_ERCP stenting.
_Bibosy.
_Chemo و Radiotherapy.
_Drainge surgery.
❤3
Pancreas
Q1/ The most common cause of acute pancreatitis :
Q1/ The most common cause of acute pancreatitis :
Anonymous Quiz
1%
A. Excessive milk consumption
93%
B. Gall bladder stones
3%
C. Paracetamol
1%
D. Prednisolone
1%
E. Hydatid disease of the liver
❤4
Q2/ Causes of acute pancreatitis includes all of the following, Except:
Anonymous Quiz
2%
A. gallstones
85%
B. Hypocalcemia
4%
C. Alcohol
5%
D. Mumps virus
4%
E. ERCP
👏2
Q3/ Regarding acute pancreatitis the false statement is:
Anonymous Quiz
37%
A. The serum amylase is raised in all cases
22%
B. in severe case the serum amylase may be normal
6%
C. A normal serum amylase may be seen in late cases
24%
D. serum amylase is not diagnostic
11%
E. persistent raised serum amylase indicates complications
❤4
Q4/ Ranson's Criteria for Determining Severity of Pancreatitis, on admission includes all but not:
Anonymous Quiz
52%
A. Age> 35 years
10%
B. 16,000/mm3
6%
C. Glucose> 200 mg/dl
5%
D. LDH > 350 IU/L
27%
E. SGOT> 250 SF units %
❤3
Q5/ Complications of pancreatitis include:
Anonymous Quiz
19%
A. Pseudocyst
6%
B. Retroperitoneal hematoma
66%
C. Hypercalcemia
4%
D. Abscess formation
5%
E. Ascites
🔥2👎1
Q6/ The severity of pancreatitis can be assessed by using all of the following criteria, Except:
Anonymous Quiz
6%
A. Age of the patient
7%
B. Arterial oxygen saturation
76%
C. Sex of the patient
7%
D. Serum albumin
4%
E. White blood cell count
🔥2❤1
Q7/ which of the is NOT part of Ranson's criteria in acute pancreatitis
Anonymous Quiz
58%
A. Serum amylase level
13%
B. Age of patient
16%
C. P02
7%
D. Blood glucose level
6%
E. White blood cell count
❤2
قناة دفعة (43) طب بشري جامعة طرابلس ❤
Q5/ Complications of pancreatitis include:
اضافة لنهاية هذا السؤال ... Except
عفواً كان خطأ مطبعي...
عفواً كان خطأ مطبعي...
❤3😢1
Q8/ Acute pancreatitis may be caused by all the following EXCEPT:
Anonymous Quiz
5%
A. Hyperparathyrodism.
0%
B. Gall bladder stones.
2%
C. coholism.
91%
D. Reflux oesophagitis.
2%
E. Mumps
🔥3
Q9/ In pseudopancreatic cyst, the following are correct, EXCEPT:
Anonymous Quiz
11%
A. Usually following Acute pancreatitis
12%
B. Not always need surgery
7%
C. Ultrasound scan can help in diagnosis
54%
D. It can resolve by antibiotic treatment
16%
E. Can lead to pancreatic ascites
🥰2
Q10/ The only statement regarding Pseudo-pancreatic cyst is:
Anonymous Quiz
8%
A. Is an early complication of pancreatitis
11%
B. is lined by epithelium
48%
C. Is a lesser sac collection
15%
D. Maturation takes 3-5 months
18%
E. Associated with Transient rise in serum amylase
❤2
Q11/ Cancer pancreas all are true, EXCEPT:
Anonymous Quiz
87%
A. Is a Squamous cell carcinoma
5%
B. Origin from acino tubular complex
2%
C. Has a poor prognosis
5%
D. Common in head and body of pancreas
2%
E. Can present with obstructive jaundice
❤2