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What are most causes of pancreatitis due to?
Alcoholism
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How do gallstones play a role in pancreatitis?
Gallstones can obstrct the pancreatic duct, leading to pancreatitis
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What are some common etiologies for pancreatitis other than Gallstones and Alcoholism?
NSAIDs and diuretics
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What are the two type of pancreatitis?
- Acute hemorrhagic pancreatitis
- Chronic pancreatitis
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What does Acute hemorrhagic pancreatitis usually follow?
Heavy alcohol laden meal
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What does acute hemorrhagic pancreatitis lead to?
abdominal pain and shock
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Acute hemorrhagic pancreatitis is or is not fatal?
Often fatal
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Chronic pancreatitis has what characterisitcs?
- Slow progression
- Malabsorption
- Diabetes Mellitus ( complication)
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What are consequences/complications f chronic pancreatitis?
- Diabetes Mellitus
- Malabsorption
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Acute pancreatitis can be detected by what levels in teh blood?
- Elevated Amylase
- Elevated lipase
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Elevated amylas and lipase in the blood indicates what disease?
Acute pancreatitis
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What is cystic fibrosis?
- Inherited autosomal recessive disorder
- Disrupts chloride transport accross cell membranes
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WHat disease disrupts Cl transport across cell membranes?
Cystic fibrosis
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Cystic fibrosis effect what body organs?
Lungs, GI and pancreas
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How is cystic fibrosis treated?
- replace pancreatic enzymes
- preven pneumonia
- supportive therapy
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What type of primary liver tumor is found in young patients?
hepatoblastoma
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Hepatoblastoma is found in what group?
young patients
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Hepatocellular Carcinoma is found in what group?
Adults
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Adults develop what type of primary liver tumor?
Hepatocellular carcinoma
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Hepatoblastoma is malignant or benign?
Malignant
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Which is more common metastatic disease or Primary liver carcinoma?
Metastatic disease
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Is Primary liver diseae common?
No, it is rare
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What are risk factors for Hepatocellular carcinoma?
- HBV
- cirrhosis
- HCV
- alcohol abuse
- Hematochromatosis
- afltoxins
- thorotrast exposure
- androgenic steroids
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Androgenic steroids, Hematochromatosis, aflatoxins, Throblast exposure, HBV, HCV, alcohol abuse and cirrhoisis are all risk factors for what?
Hepatocellular carcinoma
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What sigsn and symptoms are there for Hepatocellular carcinoma?
- cirrhosis
- enlgarged liver
- tumor marker Alpha feto protein (elevated 60-70%)
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A patien with Alpha feto protein elevated by about 60-70%, cirrhosis and liver enlargement may likley have what disease?
Hepatocellular carcinoma
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What is the prognosis for Hepatocellular carcinoma?
Poor prognosis
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Hepatocellular carcinoma is mostly seen in what type of patient?
Thsoe with cirrhosis
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How common is Metastatic Cancer?
Most common tumor of the liver
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What is the most common tumor of the liver?
Metastatic Cancer
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Cancers that commonly spread to the liver are:
- Colon
- Stomach
- Pancreas
- Leukemias
- Lymphomas
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Cancers suchas: Colon, stomach, leukemias, lymphomas and pancreas tumors commonly spread to what other organ?
The liver
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