GI Section 1: Luminal (Selected Small Bowel Path)

Question 1

Answer 1

Taget sign

SINGLE
GIST, Primary AdenoCA, Lymphoma, Ectopic Pancreatic mets, Mets (Melanoma

MULTIPLE
Lymphoma, MEt (melanoma)

Question 2

Answer 2

Clover Leaf sign

Aunt Minnie for Healed Peptic Ulcer of the Duodenal Bulb

Question 3

“sand like nodules”

Answer 3

Whipples (Tropheryma Whipplei)

Question 4

Aids (<CD4 <100), Whipple like, MAC positive

Answer 4

Pseudo-Whipples

Question 5

bstrucfion to the flow of lymph from the small intestine into the mesentery.

Answer 5

Intestinal Lymphangiectasia

dilation ofthe intestinal and serosal
lymphatic channels

Question 6

RIbbon Bowel

Answer 6

Graft vs Host

Question 7

This is a compression of the portion of the duodenum (D3) by the SMA (it pinches the duodenum
in the midline)

Answer 7

SMA Syndrome

Stomach and Proximal Duodenum (DI,D2) will be dilated.

Question 8

It is seen in patients who have recently lost a lot of weight

Answer 8

SMA Syndrome

Question 9

Small bowel malabsorption of gluten.

Answer 9

Celiac Sprue

Question 10

Fold Reversal is the Buzzword

Answer 10

Celiac Sprue

Question 11

Moulage Sign

Answer 11

dilated bowel with effaced folds (tube with wax poured in it)

Question 12

This is a congenital true diverticulum of the distal ileum.

Answer 12

Meckel’s Diverticulum I Diverticulitis:

Question 13

persistent piece of the omphalomesenteric duct

Answer 13

Meckel’s Diverticulum I Diverticulitis

Question 14

Meckel’s Diverticulum population

Answer 14

2% of pop
2 types of heterotropic mucosa (gastric and pancreatic)
2 ft from the IC valve
2 inches long (2 cm diameter)
2 y.o. and below

Question 15

Meckel’s scan

Answer 15

Tc-Perchnetate

Question 16

High Yield Meckel’s Trivia (Regarding Complications)

Answer 16

• Can get diverticulitis in the Meckels (mimic appendix)
• GI Bleed from Gastric Mucosa (causes 30% of symptomatic cases)
• Can be a lead point for intussusception (seen with inverted diverticulum)
• Can cause Obstruction

Question 17

You can have fold thickening of the duodenum from:

Answer 17

• inflammatory processes of the pancreas or gallbladder.
• thickening + fistula in Crohn’s
• primary duodenal Crohns
• Chronic dyalysis

Question 18

Important association of Jejunal diverticulosis

Answer 18

Overgrowth and malabsorption

Question 19

mechanical obstruction secondary to the passage of a gallstone in the lumen of the bowel.

Answer 19

Gallstone ileus

Gallstones access the bowel by eroding through the duodenum
(usually)

Question 20

“Riglers Triad”

Answer 20

Pneumobilia
Obstruction
Ectopic location of a gallstone