Chandra Shared "Biliary Tract and Pancreas Problems" - 13 Picmonics
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Biliary Tract and Pancreas Problems
- RUQ Pain
- Referred Shoulder Pain
- Clay Colored Stools
- Jaundice
- Nausea and Vomiting
- Dyspepsia (Indigestion)
- Fever
- Considerations
- Increased WBCs
- Fatty or Spicy Foods
- Ultrasound
- Gallbladder Inflammation
- 6 Fs
- Female
- Fair (Caucasian)
- Fat (Obese)
- Fertile (Pregnant)
- Forty (Advanced Age Over 40)
- Flatulence
- Supportive Therapy
- Antibiotics
- Low Fat Diet
- NG Tube
- Analgesics
- Lithotripsy
- Cholecystectomy
- T Tube
- Characteristics
- Acinar Cells Release Digestive Enzymes
- Ductal Epithelial Cells Release Bicarbonate
- Islets of Langerhans
- Beta Cells Release Insulin
- Alpha Cells Release Glucagon
- Delta Cells Release Somatostatin
- Somatostatin Inhibits Alpha and Beta Cells
- Mechanism
- Pancreatic Enzymes
- Indications
- Cystic Fibrosis
- Pancreatic Insufficiency
- Side Effects
- GI Distress
- Considerations
- Inactivated by Gastric Acid
- 24 Hour Fat Excretion
- Take with Every Meal and Snack
- Autodigestion of Pancreas by Pancreatic Enzymes
- Symptoms
- Epigastric Abdominal Pain Radiating to Back
- Anorexia
- Nausea
- Labs
- Increased Amylase and Lipase
- Complications
- Disseminated Intravascular Coagulation (DIC)
- Infection
- Hypocalcemia
- Systemic Inflammatory Response Syndrome (SIRS)
- Acute Respiratory Distress Syndrome (ARDS)
- Pancreatic Pseudocyst
- Hemorrhage
- Mechanism
- Heavy Alcohol Use and Gallstones
- Signs and Symptoms
- Abdominal Pain
- Nausea/Vomiting/Anorexia
- Abdominal Rigidity/Guarding
- Decreased or Absent Bowel Sounds
- Hypotension and Tachycardia
- Jaundice
- Increased White Blood Cells
- NPO with NG Tube to Suction
- Pain Management
- Albumin
- Lactated Ringers Solution
- Proton Pump Inhibitor (PPI)
- Antibiotics
- Surgery
- Nutrition
- "GET SMASHHED" Mnemonic
- Gallstones
- (Ethanol) Alcohol
- Trauma
- Steroids
- Mumps
- Autoimmune
- Scorpion Sting
- Hypercalcemia
- Hypertriglyceridemia > 1000
- ERCP
- Drugs
- Blood
- Unconjugated Bilirubin
- Bound to Albumin
- Heme
- Red Blood Cells
- Macrophages
- Liver
- Conjugated Bilirubin
- Secreted into Bile
- Bowel
- Urobilinogen
- Eliminated in Feces
- Eliminated in Urine
- Enterohepatic Circulation
- Cholestasis
- Unknown Etiology
- Symptoms
- Persistent Jaundice
- Acholic Stools
- Hepatomegaly
- Dark Urine
- Diagnosis
- Lab Values
- Ultrasound
- Treatment
- Kasai Procedure
- Liver Transplantation
- Complications
- Cirrhosis
- Portal Hypertension
- Synthesis and Circulation
- Synthesized Continuously By Hepatocytes
- Cholesterol 7 Alpha-Hydroxylase Rate Limiting Step
- Stored In Gallbladder
- Secreted Into Duodenum
- Bile Salts Reabsorbed In Terminal Ileum
- Returned To Liver Via Portal Circulation
- Composition
- Bilirubin
- Bile Salts
- Cholesterol And Phospholipids
- Ions And Water
- General
- Due To Elevated Conjugated Or Unconjugated Bilirubin
- Unconjugated
- Hemolysis
- Crigler-Najjar Or Gilbert's Syndrome
- Physiologic Jaundice Of Newborn
- Conjugated
- Biliary Obstruction From Stone Or Mass
- Cholangitis
- Dubin-Johnson And Rotor Syndrome
- Mixed
- Cirrhosis
- Hepatitis
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