SlideShare uma empresa Scribd logo
1 de 49
PANCREAS www.freelivedoctor.com
OBJECTIVES ,[object Object],www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
Chapter 19 www.freelivedoctor.com
Posterior view of duodenum/pancreas www.freelivedoctor.com
Arterial supply and venous drainage of the pancreas and spleen www.freelivedoctor.com
Lymphatic drainage of the distal pancreas and spleen www.freelivedoctor.com
www.freelivedoctor.com
Hepaticopancreatic ampulla (Ampulla of Vater) www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
Pancreatic Enzymes ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
PANCREAS DISEASES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Congenital ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
PANCREATITIS ,[object Object],[object Object],www.freelivedoctor.com
CONSEQUENCES of ACUTE and CHRONIC pancreatitis www.freelivedoctor.com
ACUTE PANCREATITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
AMYLASE www.freelivedoctor.com
MORPHOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
CHRONIC PANCREATITIS ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
CHRONIC PANCREATITIS www.freelivedoctor.com
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
PDEUDOCYSTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
www.freelivedoctor.com
www.freelivedoctor.com
Pancreas Neoplasms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
SEROUS CYSTADENOMA www.freelivedoctor.com
MUCINOUS CYSTADENOMA www.freelivedoctor.com
INTRADUCTAL PAPILLARY MUCINOUS “ NEOPLASM” www.freelivedoctor.com
CARCINOGENESIS of PANCREATIC ADENOCARCINOMA www.freelivedoctor.com
Pancreatic CA www.freelivedoctor.com
PancreaticAdenocarcinoma www.freelivedoctor.com
FATE: ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Final  TIP  of the day ,[object Object],www.freelivedoctor.com

Mais conteúdo relacionado

Mais procurados

Gastrointestinal disorders 2
Gastrointestinal disorders 2Gastrointestinal disorders 2
Gastrointestinal disorders 2
MD Specialclass
 
Pancreatic disorder
Pancreatic disorderPancreatic disorder
Pancreatic disorder
specialclass
 
Biliary tract
Biliary tractBiliary tract
Biliary tract
airwave12
 
Gall bladder disease
Gall bladder diseaseGall bladder disease
Gall bladder disease
Puneet Shukla
 

Mais procurados (20)

Gastrointestinal disorders 2
Gastrointestinal disorders 2Gastrointestinal disorders 2
Gastrointestinal disorders 2
 
Pancreas Cancer
Pancreas CancerPancreas Cancer
Pancreas Cancer
 
Pancreatic disorder
Pancreatic disorderPancreatic disorder
Pancreatic disorder
 
Esophageal ca
Esophageal caEsophageal ca
Esophageal ca
 
Pancreatic cancer
Pancreatic cancerPancreatic cancer
Pancreatic cancer
 
Biliary Disease
Biliary DiseaseBiliary Disease
Biliary Disease
 
Renal Tumors, Renal Cell Carcinoma- Dr. Vandana
Renal Tumors, Renal Cell Carcinoma-  Dr. VandanaRenal Tumors, Renal Cell Carcinoma-  Dr. Vandana
Renal Tumors, Renal Cell Carcinoma- Dr. Vandana
 
Disorders of gall bladder
Disorders of gall bladderDisorders of gall bladder
Disorders of gall bladder
 
Ischemic bowel disease
Ischemic bowel diseaseIschemic bowel disease
Ischemic bowel disease
 
Colonic polyposis syndromes
Colonic polyposis syndromesColonic polyposis syndromes
Colonic polyposis syndromes
 
Esophageal disorders
Esophageal disordersEsophageal disorders
Esophageal disorders
 
Obstructive jaundice
Obstructive jaundiceObstructive jaundice
Obstructive jaundice
 
Breast pathology 1
Breast pathology 1Breast pathology 1
Breast pathology 1
 
Carcinoma oesophagus
Carcinoma oesophagusCarcinoma oesophagus
Carcinoma oesophagus
 
Biliary tract
Biliary tractBiliary tract
Biliary tract
 
ACUTE MESENTERIC ISCHAEMIA
ACUTE MESENTERIC ISCHAEMIAACUTE MESENTERIC ISCHAEMIA
ACUTE MESENTERIC ISCHAEMIA
 
Gall bladder disease
Gall bladder diseaseGall bladder disease
Gall bladder disease
 
Ischemic bowel disease
Ischemic bowel diseaseIschemic bowel disease
Ischemic bowel disease
 
Cystic diseases of liver
Cystic diseases of liverCystic diseases of liver
Cystic diseases of liver
 
Pancreatic Cysts: A Contemporary Approach
Pancreatic Cysts: A Contemporary ApproachPancreatic Cysts: A Contemporary Approach
Pancreatic Cysts: A Contemporary Approach
 

Destaque

Presentation1.pptx pancreatic disease.
Presentation1.pptx pancreatic disease.Presentation1.pptx pancreatic disease.
Presentation1.pptx pancreatic disease.
Abdellah Nazeer
 
Imaging of the Pancreas
Imaging of the PancreasImaging of the Pancreas
Imaging of the Pancreas
Atit Ghoda
 

Destaque (20)

Pancreatic diseases
Pancreatic diseasesPancreatic diseases
Pancreatic diseases
 
Anatomy & physiology of pancreas
Anatomy & physiology of pancreasAnatomy & physiology of pancreas
Anatomy & physiology of pancreas
 
Pancreas Presentation
Pancreas PresentationPancreas Presentation
Pancreas Presentation
 
OMG - My Pancreas Just Texted
OMG - My Pancreas Just TextedOMG - My Pancreas Just Texted
OMG - My Pancreas Just Texted
 
ANATOMY OF PANCREAS
ANATOMY OF PANCREASANATOMY OF PANCREAS
ANATOMY OF PANCREAS
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
 
Pancreatitis
PancreatitisPancreatitis
Pancreatitis
 
Acute Pancreatitis
Acute PancreatitisAcute Pancreatitis
Acute Pancreatitis
 
Chronic pancreatitis pathophysiology,management and treatment. newer insights
Chronic pancreatitis pathophysiology,management and treatment. newer insightsChronic pancreatitis pathophysiology,management and treatment. newer insights
Chronic pancreatitis pathophysiology,management and treatment. newer insights
 
Pancreas Congenital Anomalies (agenesis, pancreas divisum, annular pancreas, ...
Pancreas Congenital Anomalies (agenesis, pancreas divisum, annular pancreas, ...Pancreas Congenital Anomalies (agenesis, pancreas divisum, annular pancreas, ...
Pancreas Congenital Anomalies (agenesis, pancreas divisum, annular pancreas, ...
 
Pancreas lecture1
Pancreas lecture1Pancreas lecture1
Pancreas lecture1
 
Exocrine pancreas
Exocrine pancreasExocrine pancreas
Exocrine pancreas
 
Chronic pancreatitis
Chronic pancreatitisChronic pancreatitis
Chronic pancreatitis
 
Pancrease
PancreasePancrease
Pancrease
 
Presentation1.pptx pancreatic disease.
Presentation1.pptx pancreatic disease.Presentation1.pptx pancreatic disease.
Presentation1.pptx pancreatic disease.
 
Pancreatic neoplasms
Pancreatic neoplasmsPancreatic neoplasms
Pancreatic neoplasms
 
Imaging of the Pancreas
Imaging of the PancreasImaging of the Pancreas
Imaging of the Pancreas
 
Pancreas
PancreasPancreas
Pancreas
 
Diseases of the pancreas csbrp
Diseases of the pancreas csbrpDiseases of the pancreas csbrp
Diseases of the pancreas csbrp
 
Pancreas
PancreasPancreas
Pancreas
 

Semelhante a Pancreas pathology

Liver pothology
Liver pothologyLiver pothology
Liver pothology
raj kumar
 
Diseases of git
Diseases of gitDiseases of git
Diseases of git
raj kumar
 
19 pancreas
19 pancreas19 pancreas
19 pancreas
Reach Na
 
Renal pathology..at glance
Renal pathology..at glanceRenal pathology..at glance
Renal pathology..at glance
raj kumar
 
Gastro intestinal Bleeding
Gastro intestinal BleedingGastro intestinal Bleeding
Gastro intestinal Bleeding
shabeel pn
 
Diseases of ent
Diseases of entDiseases of ent
Diseases of ent
raj kumar
 
Diseases of endocrinal glands
Diseases of endocrinal glandsDiseases of endocrinal glands
Diseases of endocrinal glands
raj kumar
 

Semelhante a Pancreas pathology (20)

Liver pothology
Liver pothologyLiver pothology
Liver pothology
 
Diseases of git
Diseases of gitDiseases of git
Diseases of git
 
The pancreas
The pancreasThe pancreas
The pancreas
 
19 pancreas
19 pancreas19 pancreas
19 pancreas
 
The pancreas.ppt
The pancreas.pptThe pancreas.ppt
The pancreas.ppt
 
Pancreatitis.pptx
Pancreatitis.pptxPancreatitis.pptx
Pancreatitis.pptx
 
Renal pathology..at glance
Renal pathology..at glanceRenal pathology..at glance
Renal pathology..at glance
 
Acute pancreatitis and Pancreatic Carcinoma
Acute pancreatitis and Pancreatic CarcinomaAcute pancreatitis and Pancreatic Carcinoma
Acute pancreatitis and Pancreatic Carcinoma
 
Gastro Intestinal Bleeding- Healthcare
Gastro Intestinal Bleeding- HealthcareGastro Intestinal Bleeding- Healthcare
Gastro Intestinal Bleeding- Healthcare
 
Neonatal biliary emesis- a problem based approach
Neonatal biliary emesis- a problem based approachNeonatal biliary emesis- a problem based approach
Neonatal biliary emesis- a problem based approach
 
Esophagus - Congenital anomalies, inflammatory & neoplastic disorders
Esophagus - Congenital anomalies, inflammatory & neoplastic disordersEsophagus - Congenital anomalies, inflammatory & neoplastic disorders
Esophagus - Congenital anomalies, inflammatory & neoplastic disorders
 
212445783 complete-study-guide
212445783 complete-study-guide212445783 complete-study-guide
212445783 complete-study-guide
 
Gastro intestinal Bleeding
Gastro intestinal BleedingGastro intestinal Bleeding
Gastro intestinal Bleeding
 
SASH : Peritonitis by Dr Nicole Spurlock
SASH : Peritonitis by Dr Nicole Spurlock SASH : Peritonitis by Dr Nicole Spurlock
SASH : Peritonitis by Dr Nicole Spurlock
 
Diseases of ent
Diseases of entDiseases of ent
Diseases of ent
 
Pediatric urology:Prune Belly Syndrome(PBS)
Pediatric urology:Prune Belly Syndrome(PBS)Pediatric urology:Prune Belly Syndrome(PBS)
Pediatric urology:Prune Belly Syndrome(PBS)
 
Diseases of endocrinal glands
Diseases of endocrinal glandsDiseases of endocrinal glands
Diseases of endocrinal glands
 
Pancreatitis
PancreatitisPancreatitis
Pancreatitis
 
Pancreatic ascites
Pancreatic ascitesPancreatic ascites
Pancreatic ascites
 
Pancreatic ascites
Pancreatic ascitesPancreatic ascites
Pancreatic ascites
 

Mais de raj kumar

The umbilical cord
The umbilical cordThe umbilical cord
The umbilical cord
raj kumar
 
The placenta
The placentaThe placenta
The placenta
raj kumar
 
The foetal membranes
The foetal membranesThe foetal membranes
The foetal membranes
raj kumar
 
Physiology of reproduction
Physiology of reproductionPhysiology of reproduction
Physiology of reproduction
raj kumar
 
Minor complaints during pregnancy
Minor complaints during pregnancyMinor complaints during pregnancy
Minor complaints during pregnancy
raj kumar
 
Diagnosis of pregnancy
Diagnosis of pregnancyDiagnosis of pregnancy
Diagnosis of pregnancy
raj kumar
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
raj kumar
 
Postpartum mood disorders
Postpartum mood disordersPostpartum mood disorders
Postpartum mood disorders
raj kumar
 
Normal and abnormal puerperium
Normal and abnormal puerperiumNormal and abnormal puerperium
Normal and abnormal puerperium
raj kumar
 
Vacuum extraction (ventouse)
Vacuum extraction (ventouse)Vacuum extraction (ventouse)
Vacuum extraction (ventouse)
raj kumar
 
Symphysiotomy
SymphysiotomySymphysiotomy
Symphysiotomy
raj kumar
 
Forceps delivery
Forceps deliveryForceps delivery
Forceps delivery
raj kumar
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
raj kumar
 
Normal labour
Normal labourNormal labour
Normal labour
raj kumar
 
Anatomy of the foetal skull
Anatomy of the foetal skullAnatomy of the foetal skull
Anatomy of the foetal skull
raj kumar
 
Anatomy of the female pelvis
Anatomy of the female pelvisAnatomy of the female pelvis
Anatomy of the female pelvis
raj kumar
 
Active management of normal labour
Active management of normal labourActive management of normal labour
Active management of normal labour
raj kumar
 
Thyrotoxicosis in pregnancy
Thyrotoxicosis in pregnancyThyrotoxicosis in pregnancy
Thyrotoxicosis in pregnancy
raj kumar
 

Mais de raj kumar (20)

The umbilical cord
The umbilical cordThe umbilical cord
The umbilical cord
 
The placenta
The placentaThe placenta
The placenta
 
The foetal membranes
The foetal membranesThe foetal membranes
The foetal membranes
 
Physiology of reproduction
Physiology of reproductionPhysiology of reproduction
Physiology of reproduction
 
Minor complaints during pregnancy
Minor complaints during pregnancyMinor complaints during pregnancy
Minor complaints during pregnancy
 
Diagnosis of pregnancy
Diagnosis of pregnancyDiagnosis of pregnancy
Diagnosis of pregnancy
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
 
Postpartum mood disorders
Postpartum mood disordersPostpartum mood disorders
Postpartum mood disorders
 
Normal and abnormal puerperium
Normal and abnormal puerperiumNormal and abnormal puerperium
Normal and abnormal puerperium
 
Version
VersionVersion
Version
 
Vacuum extraction (ventouse)
Vacuum extraction (ventouse)Vacuum extraction (ventouse)
Vacuum extraction (ventouse)
 
Symphysiotomy
SymphysiotomySymphysiotomy
Symphysiotomy
 
Forceps delivery
Forceps deliveryForceps delivery
Forceps delivery
 
Episiotomy
EpisiotomyEpisiotomy
Episiotomy
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
 
Normal labour
Normal labourNormal labour
Normal labour
 
Anatomy of the foetal skull
Anatomy of the foetal skullAnatomy of the foetal skull
Anatomy of the foetal skull
 
Anatomy of the female pelvis
Anatomy of the female pelvisAnatomy of the female pelvis
Anatomy of the female pelvis
 
Active management of normal labour
Active management of normal labourActive management of normal labour
Active management of normal labour
 
Thyrotoxicosis in pregnancy
Thyrotoxicosis in pregnancyThyrotoxicosis in pregnancy
Thyrotoxicosis in pregnancy
 

Notas do Editor

  1. Know fates of dorsal and ventral buds.
  2. Know fates of dorsal and ventral buds.
  3. Know fates of dorsal and ventral buds.
  4. Know fates of dorsal and ventral buds.
  5. Know fates of dorsal and ventral buds.
  6. Know main anatomical landmarks and relationships to other organs
  7. Recall blood flow, arterial, venous.
  8. “ Peri-”pancreatic lymph nodes, several groups.
  9. Pancreatic duct, the MAIN one from the VENTRAL bud, “usually” empties into the most dstal portion of the CBD (Common Bile Duct)
  10. EGD (Esophago, Gastro, Duodenoscopy)
  11. Axial diagram.
  12. Typical CT landmarks.
  13. Typical CT landmarks, with contrast.
  14. Histology concepts.
  15. H&E, e.m.
  16. Histology, H&E
  17. Classical classification again, our old friend.
  18. Why the blurr? Microscope out of focus. What is autolysis?
  19. Find the soap, find the calcium.
  20. Unfortunately dense fibrosis is a feature BOTH of chronic pancreatitis as well as adenocarcinoma.
  21. Small pseudocyst, showing organizing inflamation on right
  22. Describe this in plain English.
  23. Gross fibrosis on left, microscopic on right.