Pancreatic Anatomy and Physiology Indian Medical PG Flashcards - Medical Study Cards
Master Pancreatic Anatomy and Physiology with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Pancreatic Anatomy and Physiology Flashcard Deck - 10 Cards
Flashcard 1: Carcinomas situated in the _____ of the pancreas are usually larger than the head
Answer: body
Flashcard 2: _____ procedure refers to duodenum-preserving pancreatic head resection.
Answer: Beger
Flashcard 3: _____ classification is used for assessing severity of acute pancreatitis
Answer: Atlanta
Flashcard 4: Ductal adenocarcinomas arise most commonly in the _____ of the pancreas.
Answer: head
Flashcard 5: Pancreatic tumor involvement of the splenic artery or vein _____ preclude surgery.
Answer: does not (does/does not)
Flashcard 6: _____ (Braun anastomosis) is an optional procedure in Longmire-Traverso procedure done for CA Pancreas
Answer: Jejunojejunostomy
Extra: The Longmire-Traverso procedure is a **Pylorus-Preserving Pancreaticoduodenectomy (PPPD)**.
Standard reconstructions include:
1. **Pancreaticojejunostomy**: Pancreas to jejunum.
2. **Hepaticojejunostomy**: Common hepatic duct to jejunum.
3. **Duodenojejunostomy**: Duodenum (post-pyloric) to jejunum.
A **Braun's anastomosis** (side-to-side jejunojejunostomy) is an optional step performed between the afferent and efferent loops to divert food away from the biliary tree, potentially reducing biliary reflux or delayed gastric emptying (DGE).
Flashcard 7: The **double duct sign** on ERCP is classically associated with which condition?
Answer: Adenocarcinoma of the head of the pancreas
Extra: The **double duct sign** refers to the simultaneous dilation of both the common bile duct (CBD) and the pancreatic duct. It is a hallmark imaging finding (seen on ERCP, CT, or MRCP) for a tumor in the head of the pancreas (most commonly adenocarcinoma) obstructing both ducts.
Note: While "scrambled egg appearance" is a real but rare radiological description for **solid pseudopapillary neoplasms (Frantz tumors)** of the pancreas, the classic and high-yield association for ERCP findings in pancreatic cancer is the double duct sign.
Flashcard 8: Distal resection of the pancreatic tail, with end-to-end pancreaticojejunostomy, is known as _____ procedure.
Answer: Duval
Flashcard 9: What 7 structures are removed during a classic Whipple’s procedure (Pancreaticoduodenectomy)?
Answer: 1. Head of the pancreas
2. Duodenum
3. Gallbladder
4. Distal common bile duct
5. Distal stomach (Antrum)
6. Proximal jejunum
7. Regional lymph nodes
Flashcard 10: Surgery of choice for treatment of carcinoma of the body and tail of the pancreas is _____ along with splenectomy
Answer: distal pancreatectomy
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