GI / GU Flashcards
Case 60
What type of ulcer suggests Crohn’s rather than Ulcerative Colitis?
Aphthous Ulcers
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/571/667/a_image_thumb.png?1442623113)
Case 9
What is clubbing of gastric folds?
Indicative of a malignant ulcer
- the termination of a fold swells in to a club like configuration
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/571/990/a_image_thumb.png?1442623793)
Case 30
What is Carmen meniscus sign and what does it indicate?
How is CMS best seen?
A large semilunar hypodense zone
- may be seen in ulcerated gastric adenoCA - flattened polypoid mass with a broad central ulceration - gastric mucosa adjacent to the polyp forms a smooth inner margin
Single contrast or biphasic study
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/572/726/a_image_thumb.png?1442624868)
Case 9
Define Hampton’s Line
Thin well defined lucency seen at the base of an ulcer
- An ulcer collar
- Indicative of benign gastric ulcer
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/573/519/a_image_thumb.png?1442625368)
Case 48
What is the moulage sign and what is it associated with?
Barium forms smooth, featureless elongated columns or clumps in the jejunum
- Seen on SBFT
- Associated with celiac dz
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/573/930/a_image_thumb.png?1442625729)
Case 49
What is the ringed esophagus associated with?
Eosinophilic Esophagitis
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/574/195/a_image_thumb.png?1442625955)
Case 51
Through what anatomic area does the hernial sac pass in a spigelian hernia?
Linea semilunaris
- Joins rectus and oblique muscles
- Possible congenital weakness at junction
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/574/345/a_image_thumb.png?1442626160)
Case 51
What is a Littre Hernia?
A hernia containing a meckel diverticulum
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/574/578/a_image_thumb.png?1442626518)
Case 54
What is Menetrier’s disease?
Rare disease characterized by gastric mucosal hypertrohpy
- Giant rugal folds
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/574/948/a_image_thumb.png?1442627402)
Case 56
How can radiating folds help determine whether a gastric ulcer is benign or malignant?
Likely benign if
- smooth radiating folds extend to the center of the edge of the crater
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/575/842/a_image_thumb.png?1442627695)
Case 15
What is pneumatosis intestinalis cystica?
Benign condition with subserosal blebs in the distal bowel
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/576/061/a_image_thumb.png?1442628595)
Case 38
Define bull’s eye lesion
Rounded filling defect with a barium collection at its center (ulceration)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/576/797/a_image_thumb.png?1442630805)
Case 30
What is the Kirkland complex?
Concave luscent margin around the ulceration in ulcerated gastric cancer
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/578/394/a_image_thumb.png?1442631881)
Case 42
Describe Esophageal Intramural Pseudodiverticulosis
Barium filling of normal excretory ducts of the mucous glands of the esophagus, which are dilated by an underlying inflammatory process
- May result in benign strictures
- Slightly increased risk of adenoCA
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/580/138/a_image_thumb.png?1442632652)
Case 36
What is glycogenic acanthosis?
Benign condition of the esophagus with nodular swelling of the epithelium
- Occurs in elderly
- Not clinically important
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/580/889/a_image_thumb.png?1442633707)
What is Whipple’s Dz?
- Rare systemic infectious disease
- Bacterium Tropheryma whipplei
- Primarily malabsorption but may affect heart, brain, joints, skin, lungs eyes
- Weight loss, diarrhea, joint pain, and arthritis
- Significantly more common in men, 87%
- Can usually be cured with long-term antibiotic therapy
- Untreated, the disease is ultimately fatal
![](https://s3.amazonaws.com/brainscape-prod/system/cm/159/662/135/a_image_thumb.png?1442697587)