What is the prep for a pancreatic exam?
NPO 6 hours
What transducer should be used on the pancreas?
3.5 – 5 MHz sector or curved linear array transducer
What position should the patient be in for a pancreatic exam?
Where is the pancreas?
c-loop of the duodenum and extends to the helium of the spleen
The pancreas is _______ gland without a ______.
The pancreas is multi-lobular gland without a capsule
What vessels supply the pancreas?
superior mesenteric artery
What vessels drain the pancreas?
superior mesenteric vein
What drains the head, body and tail of the pancreas?
What is the accessory duct in the head of the pancreas?
What is the appropriate reasons for a pancreatic exam?
Hypovolemic shock hypotension
Blockage of CBD
What are the normal variants of the pancreas?
- Ectopic Pancreas tissue
- Annular Pancreas
- Fibrocystic Disease of the pancreas
- Congenital cysts 3-5 mm
What is the measurement of the pancreatic head?
What is the measurement of the pancreatic neck?
1.5 – 2.5 cm
What is the measurement of the pancreatic body?
What is the measurement of the pancreatic tail?
1 – 2.5 cm
What is the normal measurement of the duct of Wirsung?
What is an Acute Pancreatitis?
Pancreatic juice leaks into the surrounding parenchyma and begin attacking the pancreatic tissue.
What is the sonographic appearance of an Acute Pancreatitis?
30% have normal appearance
What is Hemorrhagic Pancreatitis
extreme Inflamed pancreas
How does the sonographic appearance of Hemorrhagic Pancreatitis differ from Acute Pancreatitis?
Mass changes in appearance with time
What causes a Pancreatic Abscess?
complication of surgery
What is the sonographic appearance of a Pancreatic Abscess?
What is the Presentation of a Pancreatic Abscess?
What is Phlegmonous Pancreatitis?
Sever form of Acute Pancreatitis, spreads to adjacent tissues
What is the sonographic appearance of Phlegmonous Pancreatitis?
What is lipase?
helps digest fat
What is amylase?
helps digest carbs
What is carboxypeptidase?
What is trypsin?
Helps digest proteins
What is chymotrypsinogen?
What is nucleases?
helps digest nucleic acids
What is gastrin?
stimulates release of gastric acid in stomach
Where is gastrin produced?
What is cholecystokinin?
Where is cholecystokinin produced?
I-cells in the lining of the duodenum
What is acetylcholine?
What is secretin?
released after acid in bolus enters the duodenum.
makes pancreas release bicarbonate.
What is insulin?
made from beta cells
What is glucose?
body energy - sugar
What is glycogen?
What is glucagon?
alpha cells - sugar up
What is somatostatin?
no insulin or glycogen