Pancreatitis — Flashcards

Flashcard 11: The Trousseau sign is _____ upon inflation of a blood pressure cuff; it is an indicator of hypocalcemia

Answer: carpopedal spasm

Extra: * Carpopedal spasm- spasmodic contraction of the hands and feet

Flashcard 12: Will a diabetic ketoacidosis patient present with hyper- or hypo-glycemia? _____

Answer: Hyperglycemia (usually >300 mg/dL)

Flashcard 13: Adult T-cell leukemia/lymphoma may present with _____ bone lesions and hypercalcemia

Answer: lytic (punched-out)

Extra: Other:

Flashcard 14: Pancreatitis secondary to alcohol abuse may present with what hematology complication? _____

Answer: Macrocytosis (MCV >100)

Extra: * Although the macrocytosis of alcoholism may be secondary to poor nutrition with a resulting folate or vitamin B-12 deficiency, it is more often due to direct toxicity of the alcohol on the marrow

Flashcard 15: In a single parathyroid adenoma, the other 3 normal parathyroid glands undergo _____ *bonus: why?

Answer: atrophy

Flashcard 16: Are serum amylase and lipase useful serum markers for chronic pancreatitis? _____

Answer: No (may or may not be elevated)

Extra: * b/c the vast majority of the pancreas has been destroyed leading to decreased levels of amylase and lipase, thus, a decrease in these levels is not specific for acute episodes as they are chronically decreased Atlas:

Flashcard 17: Does hyperosmolar hyperglycemia non-ketotic syndrome present with ketoacidosis? Why? _____

Answer: No, ketone production is inhibited by presence of insulin

Extra: * type 2 DM produce some insulin -> inhibits hormone sensitive lipase -> no lipolysis or fatty acid breakdown -> no ketone bodies

Flashcard 18: Ketoacidosis may cause the breath to have a(n) _____ odor due to exhaled acetone

Answer: fruity

Flashcard 19: Which hyperparathyroidism(s) present with increased secretion of PTH? _____

Answer: All three :) (1,2, & 3)

Flashcard 20: Pancreatic pseudocysts may _____, causing hemorrhage and release of enzymes into the abdominal cavity

Answer: rupture

Extra: Atlas: