Pancreatic conditions
Along with the thymus, the pancreas is known as a sweetbread in butchers and restaurants. The phrase was first used in 16th century but its origin is uncertain.
Adrenaline is of course made by the adrenal glands (hence adrenal ine). Video is from "Wierd Al" Yankovich.
Gallstones is the most common followed by alcohol.
You can see the laceration of the pancreas body as a hypodense area vertically in the pancreas.
Stuart Sutcliffe died of a cerebral haemorrhage, Sid Vicious of a drug overdose and Billy the Kid unsurprisingly was shot.
Rupture of a pseudocyst usually means emergent surgery.
Depressingly the overall 5 yr survival rate is only 5 to 10%. Immunotherapy offers hope of an improvement into the future.
The parameters on admission for gallstone and non gallstone pancreatitis are the same but the cut offs are different. A further group of parameters are then used after 48hrs of hospital admission, 6 for alcoholic pancreatitis, 5 for gallstone pancreatitis. Each parameter gets a score, the higher the score the worse predicted outcome.
Another score you might see is the APACHE-2 score which can be done at any time.
Ludwig Courvoisier was a Swiss surgeon (died in 1918). He was one of the first surgeons to remove gallstones from the common bile duct.
It is also the name of a French cognac.
Steve Jobs had an Islet cell tumour of the pancreas., not the much more common adenocarcinoma. His tumour was potentially curable. Unwisely he sought alternative therapies --- unsuccessfully.