ENDOCRINE ROLES
The hormones modulate every other aspect of cellular nutrition
-Rate of adsorption of food stuffs
-Cellular storage or metabolism of nutrients
The islets of Langerhans
The endocrine pancreas consists of The endocrine pancreas consists of 0.7-1 million small endocrine glands -the islets of Langerhans- scattered within the glandular substance of the exocrine pancreas.
▦ Physiologic Action of Gut Hormones
Criteria
① Peptide must be related into blood during time that a biologic response in a target organ is being stimulated or inhibited
② IV infusion of pure natural peptide must reproduce the effect on target organ
③ Synthetic peptide should reproduce the effect found with natural peptide
④ Circulating concentration of peptide that cause stimulat
있지 않다.
만성 췌장염의 분류
Marseille-Rome Classification (1988)
분류: 1) acute pancreatitis
2) chronic pancreatitis: 병리조직소견상 subclassification
(1) chronic obstructive pancreatitis
(2) chronic calcifying pancreatitis
intraductal protein plug 또는 calculi 가 항상 존재
원인이 제거되어도 대부분 구조 및 기능의 변화가 진행
1 aa of each 각각
2 a.c before meals / ante cibum 식전
3 b.i.d twice a day / bis in die 하루 두 번
4 C.C chief complaint 주 증상
5 D/C Discontinue 중지
6 gtt drops 방울
7 hs at bedtime / hora somni 취침시간
8 I&D incision and drainage 절개와 배액
9 I&O intake and output 섭취와 배설
10 NPO nothing by mouth / nothing per oral 금식
11Right eye / oculus dexter