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Gastrointestinal Conditions (JBR) > First Line Investigations (Imaging Lecture) > Flashcards

First Line Investigations (Imaging Lecture) Flashcards

1
Q

Cholecystitis
1st line investigation?
Further clarification with?

A

Ultrasound

MRCP

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2
Q

Pancreatitis
1st line investigation?
Evaluate complications with?

A

USS

CT (best about 1 week after onset of symptoms)

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3
Q

Perforation
Firs tile investigation
What may help to delineate source and show further features?

A

Erect CXR

CT

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4
Q

Appendicitis in females?

A

USS to consider gynaecological pathology

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5
Q

Diverticulitis

First line?

A

CT

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6
Q

Bowel obstruction
First line?
What may delineate cause?

A

AXR

CT

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7
Q

Bowel distension - fluid suspected

First line?

A

USS

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8
Q

Main investigation for haematemesis?

A

Endoscopy

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9
Q

What complements endoscopy for acute GI bleeding?

A

CT +/- angiography & intervention

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10
Q

What is the first line investigation for dysphagia`

A

Endoscopy

Barium or water soluble contrast

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11
Q

What is first line for a change in bowel habit?

A

Barium enema or CT virtual colonoscopy +/- flexible sigmoidoscopy
Consider fluoroscopic contrast studies (IBD)

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12
Q

First line for jaundice?
Further clarification?
How do you confirm tumours?

A

USS
MRCP +/- ERCP
CT to confirm tumours

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13
Q

Main symptoms of cholecystitis?

A

RUQ pain

Often exacerbated by eating +/- deranged LFTs

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14
Q

What are the main symptoms of pancreatitis?

A

Epigastric/diffuse abdominal pain
Increased serum amylase
Alcohol
gall stones

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15
Q

What are the pain symptoms of perforation?

A

Pain dependent on site

Localised/general peritonism

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16
Q

What are the main symptoms of appendicitis?

A

Central abdominal pain over RIF +/- fever +/- inflammatory markers raised

17
Q

What are the main symptoms of diverticulitis?

A

Lower abdominal pain
Classicially LIF
Associated with diarrhoea +/- PR bleeding
Raised inflammatory markers

18
Q

What is seen on USS for cholecystitis/bilirary colic

A

Gall stones

Dilated CBD

19
Q

What is seen on CT for pancreatitis?

A

Inflammation

Pseudocyst

20
Q

What is seen on CXR for perforation?

A

Free subphrenic gas

21
Q

What is seen on USS for appendicitis?

A

Distended appendix

Calcified appendicolith

22
Q

What is seen on AXR for small bowel obstruction?

A

Coin-Stacking

Central around umbilicius

23
Q

What is seen on AYR for large bowel obstruction

A

Haustra

Normal anatomical position

Gastrointestinal Conditions (JBR) (33 decks)

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