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3 differentials > GI and GU > Flashcards

GI and GU Flashcards

1
Q

Renal papillary necrosis

A

NSAIDS

  1. NSAIDS
  2. Sickle cells
  3. Steroids
  4. Analgesia
  5. Infection
  6. Diabetes
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2
Q

Dense Liver

A
  1. Iron deposition
    1. haemachomatosis
    2. haemosiderosis
  2. Amiodarone
  3. Gycogen storage
  4. Thorotrast
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3
Q

Nodular liver contour

A
  1. Cirrhosis
  2. Treated metastatic disease
  3. Budd Chiari
  4. Confluent hepatic fibrosis
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4
Q

Eosophageal diverticulum

A
  1. Proximal
    1. Zenker ( cricopharyngeas)
    2. KiLian Jamieson ( Lateral)
  2. Mid oesophageal
  3. Distal oesophageal pulsation ( epiphrenic)
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5
Q

Solitary hypodense liver mass

A
  1. Liver Cyst
  2. liver abscess
  3. metastasis
  4. Biliary cyst adenoma
  5. Cholangiocarcinoma
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6
Q

Multiple hypodense hepatic lesions

A
  1. Hepatic cysts
  2. Metastatic disease
  3. hepatic abscesses
  4. cholangiocarcinoma
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7
Q

Right upper quadrant mass in a child

A
  1. Choledochal cyst
  2. Pancreatic pseudocyst
  3. GI duplication cyst
  4. Ovarian cystic lesion
  5. Mesenteric cyst
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8
Q

Oesophageal submucosal mass

A
  1. Varices
  2. Reflux oesophagitis
  3. Varicoid oesophageal carcinoma
  4. Lymphoma
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9
Q

Oesophageal dilatation

A
  1. Achalasia
  2. Scleroderma
  3. Oesophageal/ gastric carcinoma
  4. Oesophagitis with stricture
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10
Q

Oesophageal pseudodiverticulosis

A
  1. Reflux
  2. Candida
  3. Superficial spreading ca
  4. Drug induced oesophagitis
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11
Q

Oesophageal ulcers

A
  1. Reflux oesophagitis
  2. Viral
    1. HIV
    2. CMV
    3. HSV
  3. Drug- induced oesophagitis
  4. caustic oesophagitis
  5. Oesophageal ca
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12
Q

Solid pancreatic mass

A
  1. Adenoca
  2. Islet cell
  3. SPEN
  4. Lymphoma
  5. Metastasis
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13
Q

Linitis Plastica

A
  1. Gastric CA
  2. Mets
  3. Lympoma
  4. Crohns
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14
Q

Gastric ulcer

A
  1. Peptic ulcer disease
  2. Gstric carcinoma
  3. Lymphoma
  4. Metastatic disease
  5. Zollinger Ellison
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15
Q

Gastric fold thickening

A
  1. Hypertrophic gastritis
  2. Gastric CA
  3. lymphoma
  4. Metastatic disease
  5. Menterier disease
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16
Q

Caecal mass

A
  1. Appendicitis
  2. Caecal carcinoma
  3. Mucocele
    1. cystic mass occasionally with mural calcifi cation.
  4. Lymphoma
  5. Adenxal mass
17
Q

Mesenteric mass

A
  1. Metastatic disease
    1. direct spread (pancreatic and colon carcinomas)
    2. hematogenous dissemination (breast and lung carcinomas
    3. lymphatic spread (lymphoma)
    4. peritoneal seeding (gastric and ovarian carcinomas).
  2. Carcinoid
  3. Desmoid
  4. Reative lmyphadenopathy
    1. TB
    2. MAC
  5. Abdominal mesothelioma
18
Q

Terminal ileal wall thickening

A
  1. Inflammatory bowel disease
  2. Infection
  3. Lymphoma
  4. Ischaemia
  5. Metastatic disease
19
Q

Colonic wall thickening

A
  1. Infectious colitis
  2. Inflammatory bowel disease
  3. Colon carcinoma
  4. Ischemic colitis
20
Q

Small bowel thickening

A
  1. Crohns
  2. Lymphoma
    1. nodular bowel wall thickening
    2. loss of bowel markings
  3. small bowel haemorrhage
    1. “stack of coins”
  4. Metastatic disease
  5. Amyloidosis
  6. Whipple disease
21
Q

Eosophageal stricture

A
  1. Reflux oesophagitis
  2. Drug- induced stricture
  3. Oesophageal caricinoma
  4. Iagtrogenic
  5. Caustic ingestion
  6. Radiation changes
22
Q

Small bowel dilatation

A
  1. Small bowel obstruction
  2. Adynamic ileus
  3. Coeliac sprue
    • reversal of the jejunal and ileal fold patterns
  4. Scleroderma
    • crowding of folds
23
Q

Cystic pancreatic mass

A
  1. Pancreatic pseudocyst
  2. mucinous cystadenoma
    • Elderley
    • (>2 cm) mucin-containing cysts
    • Tail of the pancreas
    • cannot be di̥fferentiated from a malignant mucinous cystadenocarcinoma on imaging- resect
  3. serous cystadenoma
    • Middle aged
    • small cysts (<2 cm) with thin intervening septations.
    • Head of pancreas
    • safely followed with imaging.
    • von Hippel–Lindau disease.
  4. IPMN
    • mucus can be seen emanating from the ampulla
  5. SPEN
24
Q

Hypervascular liver masses

A
  1. Haemangioma
  2. Focal nodular hyperplasia
  3. HCC
  4. Hepatic adenoma
  5. Hypervascular met
25
Q

Multiple splenic masses

A
  1. Metatatic
    1. malignant melanoma
    2. lung
    3. breast carcinomas
  2. Lymphoma
  3. Microabscesses
  4. Granulomatous disease
    1. Tb
    2. Sarcoid
  5. Infarcts
26
Q

Intrahepatic cholangiopathy

A
  1. PSC
  2. Ascending cholangitis
  3. AIDS cholangiopathy
  4. Neoplasm
  5. Post transplant ischaemia
27
Q

Solid renal mass

A
  1. RCC
  2. Oncocytoma
  3. Angiomylipoma
  4. TCC
  5. Lymphoma
28
Q

Multiple bilateral renal masses

A
  1. LMyohoma
  2. Renal infection
  3. Cystic lymphangioma
  4. RCC
  5. Angiomyolipoma
  6. Metastatic
29
Q

Renal cystic masses

A
  1. Complex renal cyst
  2. Cystic neoplasm- RCC
  3. Multilocular cystic nephroma
  4. MCDK
30
Q

Retroperitoneal mass

A
  1. Retroperitoneal haemorrhage
  2. Lymphadenopathy
    • post Rx- lymph nodes calcify
  3. Retroperitoneal abscess
  4. Retroperitoneal fibrosis
  5. Retropertioneal sarcoma
31
Q

Cortical nephrocalcinosis

A
  1. Acute Cortical necrosis
  2. Chronic glomerulonephritis
  3. Chronci transplant rejection
  4. Oxalosis
  5. Alports syndrome
32
Q

Renal medullary necrosis

A
  1. Medullary sponge kidney
  2. Acute tubular Acidosis
  3. Hypercalcaemia
  4. Papillary necrosis
  5. TB
33
Q
A

3 differentials (8 decks)

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