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GI > GI Imaging > Flashcards

GI Imaging Flashcards

1
Q

Right upper quadrant pain, often exacerbated by eating +/- deranged LFTs suggests what?

A

Cholecystitis/ Biliary colic

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2
Q

What is the first line investigation for cholecystitis/biliary colic?

A

Ultrasound

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3
Q

Following ultrasound, what test would give you further clarification about cholecystitis/gallstones?

A

MRCP +/or ERCP

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4
Q

What is epigastric/diffuse abdominal pain with an elevated serum amylase likely to be?

A

Acute pancreatitis

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5
Q

What test can be used first line in acute pancreatitis and why?

A

Ultrasound- to look for gallstones and or biliary obstruction

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6
Q

What is the main purpose of imaging in pancreatitis?

A

Evaluate complications

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7
Q

When are investigations for pancreatitis complications best done?

A

Around 1 week following onset of symptoms

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8
Q

What is the first line investigation for a suspected perforation?

A

Erect CXR

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9
Q

What would you be looking for in an erect CXR of suspected perforation?

A

Free subphrenic gas

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10
Q

What is the send test you would do for perforation?

A

CT

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11
Q

What is central abdominal pain, later associated with localised RIF pain, with slight fever and raised inflammatory markers suggestive of?

A

Appendicitis

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12
Q

What should be a differential diagnosis of appendicitis in women?

A

Gynaecological pathology

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13
Q

What is the first line investigation for suspected appendicitis?

A

Ultrasound

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14
Q

What is lower abdominal pain, classically LIF with associated diarrhoea and maybe PR bleeding with elevated inflammatory markers suggestive of?

A

Diverticulitis

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15
Q

What is the initial investigation of diverticulitis?

A

CT

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16
Q

What is a sudden onset back pain and associated hypotension likely to be?

A

Ruptured AAA

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17
Q

What is the first line investigation for a distended abdomen with a suspected bowel source?

A

AXR

18
Q

What will a small bowel obstruction show on AXR?

A

Dilated small bowel loops

19
Q

What will a large bowel obstruction show on AXR?

A

Dilated large bowel loops and no gas in rectum

20
Q

What is the second test to do for a distended abdomen after AXR?

A

CT

21
Q

What test should be done if it is fluid that is suggested to be causing distension i.e. ascites?

A

Ultrasound

22
Q

Where can haematemesis arise from?

A

Oesophagus, stomach or duodenum

23
Q

What are possible cause of haematemesis?

A

Tumour, inflammation, trauma, vascular cause i.e. varices

24
Q

What is the first line test for haematemesis?

A

Endoscopy

25
Q

What are the advantages of using an endoscopy for haematemesis?

A

Allows intervention or biopsy

26
Q

What test should be done after endoscopy for acute GI bleeding and when?

A

CT while still bleeding

27
Q

Should the CT for acute upper GI bleed be done with contrast? If so, what kind?

A

Yes, IV- not oral

28
Q

What is a third line test/management which can be used for acute upper GI bleed?

A

Angiography and intervention

29
Q

Is the protocol the same for an upper and lower acute GI bleed with regards to radiological tests?

A

Yes

30
Q

What is the first line investigation for dysphagia?

A

Endoscopy

31
Q

What less common tests can be used to assess the oesophagus?

A

Fluoroscopic studies- barium or water soluble contrast

32
Q

What are radiological investigations for change in bowel habit?

A

Barium enema or CT virtual colonography

33
Q

What further test is used to assess the right colon?

A

Flexible sigmoidoscopy

34
Q

What is the first line investigation for inflammatory bowel disease?

A

Endoscopy

35
Q

What test is used is a small bowel disease is suspected to have caused a change in bowel habit?

A

Fluoroscopic contrast studies

36
Q

What is a useful test for Crohn’s with known or suspected small bowel involvement?

A

Small bowel MRI

37
Q

What can a radio-labelled white cell scan do?

A

Localise active inflammation

38
Q

What is the purpose of investigations for jaundice?

A

Too determine if intra or post hepatic

39
Q

What is the first line investigation for jaundice?

A

Ultrasound

40
Q

What is the second line test for jaundice?

A

MRCP or ERCP

41
Q

What can be done at the time of ERCP?

A

Removal or stents

42
Q

If there is suspected mets on ultrasound of liver, what should be the next test?

A

CT

GI (17 decks)

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