GI - 1 Imaging Techniques Flashcards

1
Q

• Best method for examining UGI: Mouth -> esophagus ->stomach->duodenum

A

EGD

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2
Q

Flexible endoscope

A

EGD

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3
Q

Directed biopsy & therapeutic

A

EGD

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4
Q

• Gold Standard for diagnosing colonic mucosal disease

A

Colonoscopy

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5
Q

Flexible colonoscope

A

Colonoscopy

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6
Q

Anal canal ->rectum -> colon 95% reach cecum

A

Colonoscopy

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7
Q

Terminal ileum can be examined

A

Colonoscopy

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8
Q

• Sensitivity > barium enema or CT for colitis, polyps, cancer

A

Colonoscopy

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9
Q

Anus -> sigmoid colon

A

Flexible Sigmoidoscopy

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10
Q

Name 3 things Flexible Sigmoidoscopy is used to evaluate?

A

o Diarrhea
o Rectal bleeding
o Colon cancer screening with other modalities

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11
Q

swallow disposable capsule with camera

A

Capsule endoscopy (Small Bowel Endoscopy)

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12
Q

Visualization of jejunal & ileal mucosa: beyond conventional endoscope

A

Small Bowel Endoscopy

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13
Q
o	Implanted electromagnetic devices
o	Intestinal motility disorders
o	Zenker’s diverticulum
o	Swallowing disorders
o	Small bowel diverticulosis 
o	Pregnancy
o	Severe Crohn’s enteritis
o	Small intestinal strictures
o	Obstruction 
All of these are contraindications for:
A

Small Bowel Endoscopy

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14
Q

Push down small bowl: Down mouth -> mid jejunum

A

Push enteroscopy

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15
Q

Biopsies or endoscopic therapy

A

Push enteroscopy

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16
Q

Used for bleeding

A

Push enteroscopy

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17
Q

Diagnosing a perforated ulcer

Free air: at little as 1-2 mL of air seen

A

Plain film

18
Q

mall bowel obstruction

A

Plain film

19
Q

Moderate-Severe abdominal tenderness

A

Plain film

20
Q

Suspicion of bowl ischemia

A

Plain film

21
Q

Ingestion of FB or penetrating FB

A

Plain film

22
Q

• Drinks/swallows barium & x-ray or video taken

A

Barium Esophagram

23
Q

• Evaluates: Swallowing, Peristalsis, Lesions, HH, Rings, Strictures, Cancer, , Ulcers, Reflex

A

Barium Esophagram

24
Q

• Swallow barium, x-ray => visualize esophagus, stomach & duodenum

A

Upper GI series w/ Small Bowel Follow Through

25
Q
•	Evaluates 
o	Abdominal pain
o	Weight loss
o	Heme in stool
o	Diarrhea
A

Upper GI series w/ Small Bowel Follow Through

26
Q

evaluates entire SI w/ barium

A

Small Bowel Series

27
Q

LARGE bowel: rectum -> cecum

A

Barium Enema

28
Q

Can reflux into terminal ileum

A

Barium Enema

29
Q
X-rays taken after barium inserted. •	Evaluates
o	Cancer
o	Polyps
o	Inflammation
o	Structural abnormalities
A

Barium Enema

30
Q

• Sound waves create image
• Differentiation of
 Cystic VS. Solid lesions of the liver and kidneys

A

Abdominal Ultra Sound

31
Q

• Images of gut wall * adjacent organs vessel, & lymph nodes

A

Endoscopic Ultra Sound

32
Q
•	Most accurate preoperative local staging of esophageal, pancreatic & rectal malignancies
•	Highly sensitive for diagnosing 
o	Bile duct stones
o	 Gall bladder disease 
o	Submucosal gastrointestinal lesions
o	Chronic pancreatitis
A

Endoscopic Ultra Sound

33
Q
  • Gold standard for diagnosis of GERD
  • Measures reflux of acid from the stomach to esophagus
  • Catheter places 5cm above lower esophageal sphincter & kept in place for 24hr
A

Ambulatory 24hr pH monitoring

34
Q

Endoscope mouth -> duodenum

A

Endoscopic Retrograde Cholangiopancreatography (ERCP)

35
Q

• Ampulla of Vater identified & cannulated w/ plastic catheter

A

Endoscopic Retrograde Cholangiopancreatography (ERCP)

36
Q

• Radiographic material injected into bile duct & pancreatic duct under fluoroscopic guidance

A

Endoscopic Retrograde Cholangiopancreatography (ERCP)

37
Q

• Endoscopic sphincterotomy opens sphincter of Oddi to do one of the following
o Stones retrieved from ducts
o Biopsies can be obtained
o Strictures can be dilated & stented
o Therapeutic & diagnostic procedures esp for ductal strictures & CBD stones

A

Endoscopic Retrograde Cholangiopancreatography (ERCP)

38
Q
  • Checks function of gallbladder & bile ducts
  • Given W/ CCK to check gallbladder emptying
  • Used when presenting with RUQ pain, nausea, vomiting
A

Hepatobiliary Iminodiacetic Acid (HIDA) Scan

39
Q

• Can be done with or without contrasting agent
• Most helpful in evaluating
o Retroperitoneum ( pancreas, kidney, nodes, aorta)
o Liver
o Appendicitis
o Diverticular disease

A

CT Scan

40
Q

Better soft-tissue contrast than CT

A

MRI

41
Q
•	Evaluation of intra-and extra-hepatic biliary & pancreatic duct dilatation & cause of obstruction 
•	Evaluates
o	Choledocholithiasis
o	Retained gallstones
o	Pancreatobiliary neoplasms
o	Strictures
o	Primary sclerosing cholangitis
o	Chronic pancreatitis  
•	No contrast agents needed
•	If stones - > ERCP
A

Magnetic Resonance Cholangiopancreatography (MRCP)