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Pancreatitis
1. Classify pancreatitis on
the basis of the severity of injury to the organ.
2. List four etiologies of pancreatitis.
3. Discuss at least five potential early complications of acute
pancreatitis.
4. Discuss four potential adverse outcomes of chronic pancreatitis.
5. Describe the clinical presentation of a patient with acute
pancreatitis.
6. Outline the appropriate diagnostic approach for a patient with acute
pancreatitis, emphasizing the timing, interpretation
and reliability of
various studies.
7. Discuss the management of acute pancreatitis, including the specific
medical
management of the initial phase and indications for
surgical intervention.
8. Discuss the criteria used to predict the prognosis for acute
pancreatitis.
Pancreatic Pseudocysts
1. Discuss the mechanism of
pseudocyst formation with respect to the role
of the pancreatic duct.
2. List and discuss five symptoms and physical signs of pseudocysts.
3. Given a patient with a pancreatic mass suspected to be a pseudocyst,
discuss the indications for and sequence of diagnostic
methods,
including laboratory, radiological and invasive
studies.
4. Discuss the natural history of an untreated pancreatic pseudocyst.
5. Describe the medical and surgical treatment of a pancreatic
pseudocyst.
Carcinoma of the
Pancreas
1. List four pancreatic
neoplasms; describe the pathology of each with reference
to cell type and function.
2. Describe the symptoms and physical signs of pancreatic cancer on the
basis
of the location of the tumor in the pancreas.
3. Outline the diagnostic approach for pancreatic masses, including
laboratory,
radiological and invasive methods.
4. List the laboratory tests that would be expected to be abnormal in a
patient
with a large cancer of the head of the pancreas.
5. Describe the surgical treatment for pancreatic neoplasms.
6. On the basis of pathology and cell type, discuss the long-term
prognosis for
pancreatic cancers.
Skills
1. Demonstrate the ability
to perform a complete abdominal examination of a
patient with an upper abdominal mass.
2. Given a patient with suspected pancreatitis, interpret a plain
abdominal x-ray
and identify pertinent positive and negative findings.
3. Given a patient with obstructive jaundice and a mass in the head of
the
pancreas, accurately interpret the transhepatic
cholangiogram. |