GI Misc. 2 - Abdominal Masses Flashcards
Anorexia?Malena?Frank blood in stools?dysuria?PyuriaHaematuriapneumaturia
Loss of appetitedark stools - altered bloodbright red bloodpainful micturitionpus in urineblood in urineair bubbles in urine
What can cause prominent veins over the abdomen?
Blockage of IVC
Describe the movement of retro-peritoneal and masses in the messentery
RP will be fixed (difficult to feel unless very large)Mesentery = move only obliquely
What causes expansile pulsating masses?
Blood vessel e.g. aortic aneurysm
What does a fluctuation in a mass mean
It is full of fluid
What are tender masses often due to
Infection or impending rupture e.g. AA, appendicular abcess
What does no bowel sounds indicate
Paralytic ileus
What does increased bowel sounds mean
mechanical bowel obstruction
Indirect investigations of a mass? (6)
X-ray, US, CT, MRI, contrast studies, radio-isotope scans
What contrast study can be used to examine the kidneys, bladder and uterus
Intra-venous urogram
What contrast study can be used to look at the stomach, duodenum and a small intestine
Barium meal
What type of enemas do you get
Double contrast barium enema (using barium sulphate and air)Gastrographin enema (water soluble medium)
What can be used to look at the venous outline
Angiography
what radio-isotope scan can be used to look at the gall bladder and liver
Hepatobiliary IminoDiacetic Acid scan
Radio-isotope scan for bones
Tc99
