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Chapter 12:
Pancreas
Sections:

Index
Acknowledgements
Disclaimer

 

 

 


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OBJECTIVES

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.

 

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