GI 2 Flashcards

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1
Q

Crohn’s is a form of

A

IBD

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2
Q

CROHNS COMMONLY AFFects

A

terminal ileum

proximal colon

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3
Q

Crohn’s clinically presents (4)

A

Pain
Diarrhea
Fever
Weight loss

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4
Q

sono Crohn’s disease (7)

A
Use graded compression
Symmetrically thickened hypoechoic bowel walls
Non- or partially compressible
Bull’s eye or target sign on trv
Pseudo kidney – in sag
↑ vascularity 
Secondary appendicitis
Lymphadenopathy
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5
Q

2 benign bowel masses

A

Enteric Duplication cyst

Polyps

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6
Q

2 malignant bowel masses

A

Lymphoma

Leiomyosarcoma

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7
Q

does Enteric Duplication Cyst communicate with the bowel

A

no

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8
Q

clinical presentation of Enteric Duplication Cyst

A

Abdo pain
Distention
Vomiting, rectal bleeding

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9
Q

sono features of Enteric Duplication Cyst

A
Well defined
Round
Fluid-filled mass
Anechoic
Acoustic enhancement
Hypoechoic outer muscular rim and a hyperechoic inner rim of mucosa
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10
Q

lymphoma 3 clinical presentation

A

Palpable abdo mass
Abdo pain
Vomiting (due to obstruction)

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11
Q

sono lymphoma

A

Hypoechoic bowel wall thickening
or a focal hypoechoic or complex mass

Splenomegaly
Enlarged retroperitoneal/mesenteric lymph nodes

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12
Q

what is Acute Appendicitis clinical presentations (5)

A
Periumbilical pain
RLQ pain
Abdominal tenderness
Fever
Leukocytosis
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13
Q

acute appendicitis triad

A
  1. RLQ pain
  2. Leukocytosis
  3. Fever
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14
Q

is acute appendicitis a big deal

A

uh yeah emergency condition requiring emergency surgery in child

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15
Q

primary imaging method of imaging of appendicitis

A

US

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16
Q

apendicitis measurement

A

> 6mm AP

17
Q

sono features acute appendicitis

A
Tubular noncompressible structure
with a target appearance of an outer hypoechoc muscular layer and echogenic submucosa layer surrounded by a fluid-filled centre
Appendix > 6mm AP
Appendicolith may be noted
Enlarged mesenteric lymph nodes
Inflamed fat and free fluid
18
Q

acute appendicitis complications

A

Perforation occurs in 80-100% of children under the age of 3.
10-20% perforate in children 10-17yrs
Perforated appendix appears as a fluid-filled collection that can lead to
Abscess formation
Peritonitis.