Things I keep forgetting

Question 1

Borderline Pancreatic cancer

Answer 1

1. NO involvement of Celiac
2. NO involvement with Hepatic artery BIFUR
3. Contact CHA
4. < 180 SMA
5. > 180 SMV,. PV or < 180 at SMV/PV confluence

Neoadjuvant chemo -> restage –> ? Whipple

Question 2

UNRESECTABLE Panc Ca

Answer 2

1. > 180 Celiac
2. > 180 CHA
3. > 180 SMA
4. Occlusion of SMV, PV Confluence

Question 3

Workup Hypercortisolism

Answer 3

1. 24 hr Urine Cortisol + serum ACTH

Question 4

Cortisol HIGH

ACTH LOW

Answer 4

Adrenal

Question 5

Cortisol HIGH

ACTH HIGH

Answer 5

Pituatary OR ectopic

1. dexamethasone supression test
   - -> Cortisol is low –> pituatary
   - -> Cortisol high –> ectopic

Question 6

(polydioxanone)

Answer 6

PDS. 6-9 mo

Question 7

Polyglactin

Answer 7

Vicryl 2-3 mo

Question 8

HCC -

when to transplant or resect?

Answer 8

Early stage or very early stage.

If you have preserved hepatic function –> then resect.

If you have increased portal pressures w/o any other real diseases –> transplant

Question 9

what is early or very early stage HCC?

Answer 9

Very early - solitary < 2 cm

Early - 1 -3 nodules < 3 cm or one 5-7 cm

Question 10

When to ablate for HCC ?

Answer 10

Very early or early stage but poor operative candidates

Question 11

When to chemoembolize?

Answer 11

More advanced stage with good liver function.

Question 12

ameobic infections of the liver

1. What is the name?

Answer 12

Entameoba histolytica
protozoa
non-flagellated

Question 13

A hypoattenuating lesion with thickened rind - target, double ring

Answer 13

Ameobic abscess.

NO daughter cysts

Question 14

Ameobic abscess treatment?

Answer 14

Flagyl!

Question 15

glucagon

Answer 15

increases available glucose (glycogenolysis)

Question 16

liver remnant in normal

Answer 16

20%

Question 17

liver remnant in liver

Answer 17

30%