56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD...

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56 yo F with RUQ pain and jaundice

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Transcript of 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD...

Page 1: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

56 yo F with RUQ pain and jaundice

Page 2: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”
Page 3: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

US – presumed panc head mass, dilated thickwalled CBD terminates in

“mass”

Page 4: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

CT – bulbous panc head – no mass

Page 5: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

CT – pancreas diffusely thickened with decreased normal lobulations.

Hypodense capsule

Page 6: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

Delayed CT- subtle delayed enhancement of “capsule”

Page 7: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

Dual-Phase CT of Autoimmune Pancreatitis: A Multireader Study

• The characteristic CT appearance of autoimmune pancreatitis has been described as diffuse enlargement of the pancreas with a capsule-like rim [5–7].

• AJR February 2008 vol. 190 no. 2 280-286

http://www.ajronline.org/content/190/2/280.full?sid=fb80b24e-c8a2-426e-a146-ea973fe68edf#ref-5
http://www.ajronline.org/content/190/2/280.full?sid=fb80b24e-c8a2-426e-a146-ea973fe68edf#ref-7
Page 8: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

—85-year-old man with autoimmune pancreatitis.

Takahashi N et al. AJR 2008;190:280-286

©2008 by American Roentgen Ray Society

Page 9: 56 yo F with RUQ pain and jaundice. US – presumed panc head mass, dilated thickwalled CBD terminates in “mass”

—74-year-old man with autoimmune pancreatitis.

Takahashi N et al. AJR 2008;190:280-286

©2008 by American Roentgen Ray Society


INTERRUPTION IN THE ABORAL BOWEL … · Adynamic vs Mechanical Ileus ... • Following celiotomy – small bowel- 24h, ... • On laparotomy, large RUQ mass involving

INTERRUPTION IN THE ABORAL BOWEL … · Adynamic vs Mechanical Ileus ... • Following celiotomy – small bowel- 24h, ... • On laparotomy, large RUQ mass involving

Panc presentation biochem dept feb2010

Panc presentation biochem dept feb2010

Management Conference Young girl with RUQ mass and pain Raika Jamali MD Digestive Disease Research Center Tehran University of Medical Sciences Tehran.

Management Conference Young girl with RUQ mass and pain Raika Jamali MD Digestive Disease Research Center Tehran University of Medical Sciences Tehran.

JK Amorosa. What’s in the RUQ? Liver GB Bile ducts Pancreas Duodenum R kidney R adrenal.

JK Amorosa. What’s in the RUQ? Liver GB Bile ducts Pancreas Duodenum R kidney R adrenal.

PENNSYLVANIA OPIOID SURGICAL STEWARDSHIP ENTERPRISE · 7/21/2019  · -Survey development-Pt edu materials •Q2-Webinar #1 •Q4-Webinar #2-PANC meeting #2-PANC meting #4 -Hospital

PENNSYLVANIA OPIOID SURGICAL STEWARDSHIP ENTERPRISE · 7/21/2019  · -Survey development-Pt edu materials •Q2-Webinar #1 •Q4-Webinar #2-PANC meeting #2-PANC meting #4 -Hospital

Quadrant Pain Acute Upper RUQ Pain - CPD … CBD: erect RPO Proximal/mid: supine/LPO ... upper quadrant pain and fever. Abdominal ultrasound demonstrates a liver mass. What is the

Quadrant Pain Acute Upper RUQ Pain - CPD … CBD: erect RPO Proximal/mid: supine/LPO ... upper quadrant pain and fever. Abdominal ultrasound demonstrates a liver mass. What is the

Case Study Sample PANC

Case Study Sample PANC

Jeremy Price, MSIV Albert Einstein College of Medicine July 19, 2013 56M no PMH p/w RUQ pain.

Jeremy Price, MSIV Albert Einstein College of Medicine July 19, 2013 56M no PMH p/w RUQ pain.

Management of Intestinal Obstruction - Minerva€¢Palpable sausage-shaped mass in RUQ : Empty RIF- “Dance sign”. This ... Paraumbilical, Epigastric, Incisional, parastomal, Hiatus*

Management of Intestinal Obstruction - Minerva€¢Palpable sausage-shaped mass in RUQ : Empty RIF- “Dance sign”. This ... Paraumbilical, Epigastric, Incisional, parastomal, Hiatus*

NCI-PBCF-CRL1469 (PANC-1) Pancreatic Carcinoma (ATCC … · table of contents 1. background information on panc-1 cell line .....3 2. general information for the propagation and cryopreservation

NCI-PBCF-CRL1469 (PANC-1) Pancreatic Carcinoma (ATCC … · table of contents 1. background information on panc-1 cell line .....3 2. general information for the propagation and cryopreservation

Case conference A 57-year-old man with acute abdominal pain in RUQ and RLQ Case conference A 57-year-old man with acute abdominal pain in RUQ and RLQ..

Case conference A 57-year-old man with acute abdominal pain in RUQ and RLQ Case conference A 57-year-old man with acute abdominal pain in RUQ and RLQ..

Leighann Henehan. Surgical referral, abdominal wall abscess (RUQ) Incision & drainage Non-healing wound EUA.

Leighann Henehan. Surgical referral, abdominal wall abscess (RUQ) Incision & drainage Non-healing wound EUA.

A 58-year-old woman with recurrent RUQ pain Julie Fagan, M.D. Primary Care Conference 7 July 2004.

A 58-year-old woman with recurrent RUQ pain Julie Fagan, M.D. Primary Care Conference 7 July 2004.

&855,&8/80 9,7$(folk.ntnu.no/halo/Curriculum.pdf · &855,&8/80 9,7$( 1dph +dooydug ghjddug %ruq lq 9rvv 1ruzd\

&855,&8/80 9,7$(folk.ntnu.no/halo/Curriculum.pdf · &855,&8/80 9,7$( 1dph +dooydug ghjddug %ruq lq 9rvv 1ruzd\

Restricted © Siemens AG 2015 All rights reserved.siemens.com/answers PANC Presentation Lars Lee-Potreck / October 2015.

Restricted © Siemens AG 2015 All rights reserved.siemens.com/answers PANC Presentation Lars Lee-Potreck / October 2015.

Management of Intestinal Obstruction · • vomiting, abdominal pain, Blood and mucous PR “red currant jelly” •Lethargy •Palpable sausage-shaped mass in RUQ : Empty RIF- “Dance

Management of Intestinal Obstruction · • vomiting, abdominal pain, Blood and mucous PR “red currant jelly” •Lethargy •Palpable sausage-shaped mass in RUQ : Empty RIF- “Dance

UPPER ABDOMINAL/GALLBLADDER/RUQ/AORTA · PDF fileUPPER ABDOMINAL/GALLBLADDER/RUQ/AORTA ULTRASOUND: Do not ... Microsoft Word - patient prep ultrasound.docx Created Date: 5/4/2015 7:30:27

UPPER ABDOMINAL/GALLBLADDER/RUQ/AORTA · PDF fileUPPER ABDOMINAL/GALLBLADDER/RUQ/AORTA ULTRASOUND: Do not ... Microsoft Word - patient prep ultrasound.docx Created Date: 5/4/2015 7:30:27

Disclosures - PA NSQIP CONSORTIUM (PANC)

Disclosures - PA NSQIP CONSORTIUM (PANC)

PENNSYLVANIA OPIOID SURGICAL STEWARDSHIP ENTERPRISE · 10/18/2018  · •Q1-Distribute patient •Q3-PANC meeting #4 edu materials -Continue data collect-PANC meeting #3-Submit grant-Continue

PENNSYLVANIA OPIOID SURGICAL STEWARDSHIP ENTERPRISE · 10/18/2018  · •Q1-Distribute patient •Q3-PANC meeting #4 edu materials -Continue data collect-PANC meeting #3-Submit grant-Continue

How will California achieve its policy goals? PANC Spring Seminar | May 19, 2015.

How will California achieve its policy goals? PANC Spring Seminar | May 19, 2015.