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  #1  
Old 05-28-2010
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Pancreas CA of Head of Pancreas; Anatomy

Your patient has been diagnosed with cancer of head of pancreas. Another clinical sign in him would be which of the following:

A) Esophageal varices
B) Hemarhoids
C) Caput medusae
D) Increase pressure in hepatic vein
E) Enlarged right supraclavicular nodes
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  #2  
Old 05-28-2010
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Default E??

e - Enlarged right supraclavicular nodes
it should be enlarged LT supraclavicular nodes
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  #3  
Old 05-28-2010
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E enlarged right supraclavicular nodes
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  #4  
Old 05-28-2010
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actually this Q made me think ,it is pure anatomy relationship. try guys , try to relate it anatomically.
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Old 05-28-2010
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tough question.I think that pancreatic cancer can be associated with budd chiari syndrome.So i choose D.i didn t pick b cuz they say right supraclavicular node( it should be left i think).The other choices are common sign of portal hepertension.Anyway i m waiting for the answer
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  #6  
Old 05-28-2010
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Quote:
Originally Posted by achistikbenny View Post
Your patient has been diagnosed with cancer of head of pancreas. another clinical sign in him would be

a - Esophageal varices
b - Hemarhoids
c- Caput medusae
d- Increase pressure in hepatic vein
e - Enlarged right supraclavicular nodes

e- Enlarged Right Supraclavicular nodes.
Waiting for the correct answer.
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  #7  
Old 05-29-2010
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Default D

if its not enlarged LN then it must be increase pressure in hepatic vein as a result of blood clots in portal venous system...common finding in ca. pancreas..
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  #8  
Old 05-29-2010
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Guys the ans is B.Q30 of abdomen section of kaplan and there is explanation ....on page 232-----anatomy kaplan...2008...

-Carcinma of the head of pancreas in the head may compress the portal vein at its origin.
--The portal vein is formed when the splenic vein joins with the SMV.The inferior mesenteric vein joins the splenic vein just prior to the point at which the splenic joins the SMV.
--Increased venous pressure in the inferior mesenteric vein is a cause of hemorrhoids.
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The above post was thanked by:
Bella (05-30-2010), curiousmind (07-06-2012), khushboo (05-29-2010), koolkiller88 (05-20-2012), sam01 (05-30-2010), tariqkaseda (10-26-2011)
  #9  
Old 05-29-2010
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good question

thanks
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