Abdominal Miscellaneous Flashcards

1
Q

the sonographic appearance of an abscess can vary between

A

complex masses, debris, septations, and gas

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2
Q

what artifact is produced due to gas within an abscess

A

reverberation (comet-tail) artifact

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3
Q

Abscesses typically demonstrate __________ __________ depending on the cystic component of the abscess

A

posterior enhancement

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4
Q

the most reliable finding in a pt with abscesses are

A

Presence of fever and increased white blood cell (WBC) count

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5
Q

What is the white arrow pointing to

A

a GB Fossa Abscess

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6
Q

Bilomas are

A

extra hepatic collections of extra vasted bile

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7
Q

Bilomas are commonly associated with

A

abdominal trauma gallbladder disease in biliary surgery

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8
Q

Bilomas are predominantly cystic masses located in

A

upper right quadrant

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9
Q

Lymphocele are complications of

A

Renal transplantation
Gynecologic surgery
Vascular surgery
Neurological surgery

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10
Q

Lymphocele are caused by

A

leakage of lymph from a renal allograft or by a surgical disruption of the lymphatic channels

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11
Q

what are differential diagnoses of lymphocele

A

any fluid collections such as loculated ascites urinoma hematoma or abscesses

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12
Q

Internal Echoes within the collection is more consistent with an ______ and _____ than with lymphocele

A

abscess & hematoma

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13
Q

Urinoma is a

A

collection of urine which is located outside of the kidney or bladder

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14
Q

what causes a urinoma

A

Renal trauma, renal surgery or from an obstructing lesion

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15
Q

Urinoma are commonly associated with

A

renal transplantation and posterior urethral valve obstruction

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16
Q

A urinoma has a sonographic appearance similar to

A

Lymphoceles

17
Q

ddh stands for

A

developmental dysplasia of the hip

18
Q

ddh is a spectrum of disorders affecting the

A

proximal femur and acetabulum that leads to hips subluxation which is a partial dislocation and dislocation

19
Q

Risk factors for hip dysplasia are

A

-female,
first born
-frank breech presentation
-family history of ddh
-oligohydramnios

20
Q

Stress maneuvers for ddh are

A

Barlow and Ortolani

21
Q

what is the Barlow stress maneuver used for?

A

to determine if hip is sublaxable. dislocation of the hip by adducting and pushing the leg posteriorly.

22
Q

what is ortolani stress maneuver used for?

A

relocation of the dislocated hip by abducting the leg a palpable and audible clunk is noted as the femoral head slips back into the sockets

23
Q

what is the normal Alpha and beta for DDH?

A

Alpha is over > 60 beta is under < 55

24
Q

Lymphoma encompasses two groups of neoplasms

A

Non-Hodgkin’s lymphoma AKA NHL and Hodgkin’s disease

25
What are sonographic signs are in the presence of Perivessel lymphoma
“sandwhich and mantle”
26
What are lymphomas noted to displace?
IVC and SMA anteriorly
27
What disease more frequently shows displacement of IVC and SMA?
Non-Hodgkin's lymphoma more than Hodgkin's
28
what are symptoms of a lymphoma?
Fever, Night sweats, Weight loss
29
what is the most common subtype of lymphoma?
diffuse large B cells lymphoma
30
what is ascites?
excessive accumulation of cirrhosis fluid in the peritoneal cavity
31
What are two mechanisms that produce ascites?
Low serum osmotic pressure AKA protein loss and high portal venous pressure
32
causes of ascites include?
- cirrhosis - renal failure - congestive heart failure - malignant ascites such as cancers
33
what is the most common cause of ascites?
Cirrhosis
34
hypoalbuminemia AKA low protein can be the result of?
- Liver failure - Nephrotic syndrome - Malnutrition
35
What procedure can successfully treat ascites by lowering portal pressure?
Transjugular interhepatic portal systemic shunting
36
Where is ascites commonly found?
-inferior aspect of the right lobe of liver -Morrison's pouch -pelvic cul-de-sac -paracolic gutters
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