Pancreas

Open Ended

What is your differential?

Open Ended

How does the imaging focus the differential diagnosis?

Multiple Choice

Which part of the intestine is shown in the gross image?

• Duodenum

• Jejunum

• Ascending colon

• Ileum

Labelling

Identify the lesion and Ampulla of Vater.

Drag labels to their correct position on the image

Ampulla of Vater

lesion

Open Ended

Describe the gross appearance of the lesion.

Open Ended

What is the final diagnosis?

Multiple Choice

Which of the following is most commonly mutated in this disease?

• BRCA2

• GNAS

• KRAS

• SMAD4

• VHL

Multiple Choice

Which of the following is usually a precursor lesion for this disease?

• Acute pancreatitis

• Chronic pancreatitis

• Pancreatic intraepithelial neoplasm

• Pancrreatic pseudocyst

• Serous cystadenoma

Multiple Choice

Which of the following is most closely associated with this disease?

• Budd-Chiari syndrome

• Cystic fibrosis

• Hypercalcemia

• Increased serum IgG4

• Migratory thrombophlebitis

Open Ended

What is your differential?

Open Ended

Describe the gross findings in this pancreas.

Open Ended

How do the laboratory tests contribute to the differential diagnosis?

Open Ended

What is the final diagnosis?

Multiple Choice

Which of the following is the most common cause of this disease?

• Cystic fibrosis

• Excessive alcohol use

• Annular pancreas

• Pancreas divisum

• SPINK1 mutatioin

Multiple Choice

Which of the following is the most likely sequela of this disease?

• Adenocarcinoma of the pancreas

• Aortic dissection

• IgG4 inflammatory disease

• Metastatic calcification

• Pancreatic pseudocyst

Multiple Choice

Which of the following laboratory values is usually the first to increase in this disease?

• Serum amylase

• Serum calcium

• Serum lipase

• Urinary ketones

• White blood cell count