Upload
louis-fortunato
View
223
Download
0
Embed Size (px)
Citation preview
7/27/2019 Ch19 Pancreas 1
1/50
PANCREAS
7/27/2019 Ch19 Pancreas 1
2/50
PANCREAS
7/27/2019 Ch19 Pancreas 1
3/50
7/27/2019 Ch19 Pancreas 1
4/50
7/27/2019 Ch19 Pancreas 1
5/50
Ventral Bud
7/27/2019 Ch19 Pancreas 1
6/50
7/27/2019 Ch19 Pancreas 1
7/50
7/27/2019 Ch19 Pancreas 1
8/50
7/27/2019 Ch19 Pancreas 1
9/50
Chapter 19
7/27/2019 Ch19 Pancreas 1
10/50
Posterior view of duodenum/pancreas
7/27/2019 Ch19 Pancreas 1
11/50
Arterial supply and venous drainage of the
pancreas and spleen
7/27/2019 Ch19 Pancreas 1
12/50
Lymphatic drainage of the distal
pancreas and spleen
7/27/2019 Ch19 Pancreas 1
13/50
7/27/2019 Ch19 Pancreas 1
14/50
Hepaticopancreatic ampulla
(Ampulla of Vater)
7/27/2019 Ch19 Pancreas 1
15/50
L2
7/27/2019 Ch19 Pancreas 1
16/50
7/27/2019 Ch19 Pancreas 1
17/50
7/27/2019 Ch19 Pancreas 1
18/50makes HCO3
7/27/2019 Ch19 Pancreas 1
19/50
7/27/2019 Ch19 Pancreas 1
20/50
7/27/2019 Ch19 Pancreas 1
21/50
Pancreatic Enzymes Amylase Lipase
DNA-ase RNA-ase
Zymogens: TrypsinogenChymotrypsinogenProcarboxypeptidase A, B
7/27/2019 Ch19 Pancreas 1
22/50
PANCREAS DISEASES
CongenitalInflammatory
Acute
Chronic
Cysts
Neoplasms
7/27/2019 Ch19 Pancreas 1
23/50
Congenital Agenesis (very rare)
Pancreas Divisum (failure of 2ducts to fuse)(common)
Annular Pancreas (pancreasencircles duodenum)(rare)
Ectopic Pancreas (very common)
7/27/2019 Ch19 Pancreas 1
24/50
7/27/2019 Ch19 Pancreas 1
25/50
7/27/2019 Ch19 Pancreas 1
26/50
PANCREATITIS ACUTE (VERY SERIOUS)
CHRONIC (Calcifications,Pseudocyst)
7/27/2019 Ch19 Pancreas 1
27/50
7/27/2019 Ch19 Pancreas 1
28/50
7/27/2019 Ch19 Pancreas 1
29/50
CLINICAL FEATURES
ABDOMINAL PAIN
EXTREME emergency situation
HIGH mortality
but MOST important lab testis.?????
7/27/2019 Ch19 Pancreas 1
30/50
AMYLASE
!!!!!!!
7/27/2019 Ch19 Pancreas 1
31/50
7/27/2019 Ch19 Pancreas 1
32/50
7/27/2019 Ch19 Pancreas 1
33/50
7/27/2019 Ch19 Pancreas 1
34/50
CHRONIC PANCREATITIS
Pancreatic duct obstruction,LONGSTANDING
Tropical Hereditary (PRSS1, SPINK1
mutations) IDIOPATHIC (40%)
7/27/2019 Ch19 Pancreas 1
35/50
7/27/2019 Ch19 Pancreas 1
36/50
7/27/2019 Ch19 Pancreas 1
37/50
CHRONIC PANCREATITIS
7/27/2019 Ch19 Pancreas 1
38/50
7/27/2019 Ch19 Pancreas 1
39/50
7/27/2019 Ch19 Pancreas 1
40/50
7/27/2019 Ch19 Pancreas 1
41/50
7/27/2019 Ch19 Pancreas 1
42/50
7/27/2019 Ch19 Pancreas 1
43/50
SEROUS
CYSTADENOMA
7/27/2019 Ch19 Pancreas 1
44/50
7/27/2019 Ch19 Pancreas 1
45/50
INTRADUCTAL
PAPILLARY
MUCINOUS
NEOPLASM
7/27/2019 Ch19 Pancreas 1
46/50
7/27/2019 Ch19 Pancreas 1
47/50
Pancreatic CA
7/27/2019 Ch19 Pancreas 1
48/50
Pancreatic
Adenocarcinoma
FATE
7/27/2019 Ch19 Pancreas 1
49/50
FATE: Regional lymph nodes
Liver
Often L-2 spine Lungs
Grading (WMP) Staging TNM
7/27/2019 Ch19 Pancreas 1
50/50