Rejected
at 5:44 p.m. Feb, 02, 2024 ]
by
herstein.jacob
Author:
gpommier
Type of change:
Other
Rationale for change
added a close to S to reflect the notes in Extra
Rejection reason
that is more related to ERCP, can edit extra instead
Current
Suggested
Text
Text
Text
Text
Extra
Idiopathic | |
---|---|
Gallstones | Specifically at the ampulla of Vater |
Ethanol | Alcohol triggers the release of pancreatic enzymes - also results in alcoholic liver disease, peripheral neuropathy, testicular atrophy |
Trauma (e.g., automobile accident in children - seatbelt injury) | Children being restrained by seatbelts |
Posterior duodenal ulcer rupture | Pancreas sits behind posterior duodenum - rupture perforates pancreas; pancreas divisum is an embryological cause |
Pancreas divisum | Other structural abnormalities of the pancreatic duct (strictures, cancer) or the ampullary region (choledochal cyst, stenosis of sphincter of Oddi) |
Steroids | |
Mumps | Mumps; other infections are coxsackievirus, Mycoplasma pneumoniae |
Autoimmune disease | Typically due to IgG4 related disease (+ Riedel thyroiditis, retroperitoneal fibrosis, noninfectious aortitis) |
Scorpion sting | Scorpion stings (especially in Trinidad) + brown recluse spider + gila monster lizard; surgery (particularly of the stomach and biliary tract and after cardiac surgery) |
Hypercalcemia or Hypertriglyceridemia/Hyperchylomicronemia | Calcium deposits in pancreas ducts and activates trypsinogen; chylomicrons obstruct pancreatic capillaries, leading to local ischemia - exposes TAGs to pancreatic lipases, leads to proinflammatory CK / free radicals → tissue injury |
ERCP (endoscopic retrograde cholangiopancreatography) | |
Drugs (e.g., sulfa drugs, NRTIs, protease inhibitors, diuretics) | Didanosine, corticosteroids, alcohol, valproic acid, azathioprine, furosemide, HCTZ, GLP-1 analogs, 6MP in addition |
Lecture Notes
Empty field
Missed Questions
Empty field
Pathoma
Empty field
Boards and Beyond
Empty field
First Aid
Sketchy 2
Sketchy Extra
Empty field
Picmonic
Empty field
Pixorize
Physeo
Empty field
Bootcamp
OME
Additional Resources
One by one
y