Download Free Medical PANCREAS PowerPoint Presentation

PANCREAS PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Hereditary Pancreatitis, which is titled "Pancreas", to know about pancreas and its intimate relationship with the duodenum.

Tags : Hereditary Pancreatitis, Pancreas, duodenum

Published on : May 18, 2021 | Views : 4568 | Downloads : 12

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

PANCREAS
Slide 2-

ppt slide no 2 content not found
Slide 3-

OBJECTIVES Understand the etiology/risk factors, pathogenesis, morphology, clinical features and outcome of pancreatic inflammations and neoplasms
Slide 4-

ppt slide no 4 content not found
Slide 5-

Ventral Bud
Slide 6-

ppt slide no 6 content not found
Slide 7-

ppt slide no 7 content not found
Slide 8-

ppt slide no 8 content not found
Slide 9-

Chapter 19
Slide 10-

Posterior view of duodenum/pancreas
Slide 11-

Arterial supply and venous drainage of the pancreas and spleen
Slide 12-

Lymphatic drainage of the distal pancreas and spleen
Slide 13-

ppt slide no 13 content not found
Slide 14-

Hepaticopancreatic ampulla (Ampulla of Vater)
Slide 15-

L2
Slide 16-

ppt slide no 16 content not found
Slide 17-

ppt slide no 17 content not found
Slide 18-

makes HCO3¯
Slide 19-

ppt slide no 19 content not found
Slide 20-

ppt slide no 20 content not found
Slide 21-

Pancreatic Enzymes Amylase Lipase DNA-ase RNA-ase Zymogens: Trypsinogen Chymotrypsinogen Procarboxypeptidase A, B
Slide 22-

PANCREAS DISEASES Congenital Inflammatory Acute Chronic Cysts Neoplasms
Slide 23-

Congenital Agenesis (very rare) Pancreas Divisum (failure of 2 ducts to fuse) (common) Annular Pancreas (pancreas encircles duodenum) (rare) Ectopic Pancreas (very common)
Slide 24-

ppt slide no 24 content not found
Slide 25-

ppt slide no 25 content not found
Slide 26-

PANCREATITIS ACUTE (VERY SERIOUS) CHRONIC (Calcifications, Pseudocyst)
Slide 27-

CONSEQUENCES of ACUTE and CHRONIC pancreatitis
Slide 28-

ACUTE PANCREATITIS ALCOHOLISM Bile reflux Medications (thiazides) Hypertriglyceridemia, hypercalcemia Acute ischemia Trauma, blunt, iatrogenic Genes: PRSS1, SPINK1 Idiopathic, 10-20%
Slide 29-

CLINICAL FEATURES ABDOMINAL PAIN EXTREME emergency situation HIGH mortality …but MOST important lab test is……….????? 
Slide 30-

AMYLASE !!!!!!!
Slide 31-

MORPHOLOGY EDEMA FAT NECROSIS ACUTE INFLAMMATORY INFILTRATE PANCREAS AUTODIGESTION BLOOD VESSEL DESTRUCTION “SAPONIFICATION” (stearates, Na+, Ca++)
Slide 32-

ppt slide no 32 content not found
Slide 33-

ppt slide no 33 content not found
Slide 34-

CHRONIC PANCREATITIS Pancreatic duct obstruction, LONGSTANDING Tropical Hereditary (PRSS1, SPINK1 mutations) IDIOPATHIC (40%)
Slide 35-

ppt slide no 35 content not found
Slide 36-

ppt slide no 36 content not found
Slide 37-

CHRONIC PANCREATITIS
Slide 38-

CLINICAL FEATURES Abdominal Pain Vague abdominal symptoms Nothing CT calcifications (why?), amylase elevated, chronic diarrhea if chronic pancreatic insuffiency develops, high likelihood of pseudocysts
Slide 39-

PDEUDOCYSTS Why “pseudo”? STRONGLY linked with pancreatitis Can be as big as a football and often are. Can cause obstruction Can get infected Do NOT become malignant
Slide 40-

ppt slide no 40 content not found
Slide 41-

ppt slide no 41 content not found
Slide 42-

Pancreas Neoplasms Serous Mucinous Cystic Microcystic Papillary Benign Malignant (dense sclerosis is the rule)
Slide 43-

SEROUS CYSTADENOMA
Slide 44-

MUCINOUS CYSTADENOMA
Slide 45-

INTRADUCTAL PAPILLARY MUCINOUS “NEOPLASM”
Slide 46-

CARCINOGENESIS of PANCREATIC ADENOCARCINOMA
Slide 47-

Pancreatic CA
Slide 48-

Pancreatic Adenocarcinoma
Slide 49-

FATE: Regional lymph nodes Liver Often L-2 spine Lungs Grading (WMP), Staging, TNM
Slide 50-

Final TIP of the day Painless jaundice in an elderly person is CARCINOMA of the head of the pancreas until proven otherwise