GI Section III: Ductal High Yield Summary

Question 1

Answer 1

Caroli’s

Question 2

-Communicates with the ducts

Answer 2

Caroli’s

Question 3

Type 5 choledocal Cyst

Answer 3

Caroli’s

Question 4

-Central Dot Sign (on CT, MR, US)

Answer 4

Caroli’s

Question 5

Caroli’s disease associated diseases

Answer 5

Polycystic Kidney
Medullary Sponge Kidney
Cholangiocarcinoma

Question 6

40 y.o. male with ulcerative cholitis

Answer 6

Primary Sclerosing Cholangitis

Question 7

Withering tree

Answer 7

Primary Sclerosing Cholangitis

Question 8

Beading

Answer 8

Primary Sclerosing Cholangitis

Question 9

Mild dilatation

Answer 9

Primary Sclerosing Cholangitis

Question 10

Primary Sclerosing Cholangitis associated diseases

Answer 10

Ulcerative cholangitis

CholangioCA

Question 11

Answer 11

Primary Sclerosing Cholangitis

Question 12

Answer 12

Recurrent pyogenic cholangiohepatitis

Question 13

-Associations with clonorchiasis, ascariasis

Answer 13

Oriental Cholangiohepatitis (Recurrent Pyogenic)

Question 14

-Lots of Stones

Answer 14

Recurrent pyogenic cholangiohepatitis

Question 15

-StronglyAssociated with Cholangiocarcinoma

Answer 15

Recurrent pyogenic cholangiohepatitis

Question 16

-Related to Cryptosporidium or cytomegalovirus.

Answer 16

AIDS Cholangiopathy

Question 17

-Segmental Strictures (looks like PSC)

Answer 17

AIDS Cholangiopathy

Question 18

-Ducts look like PSC + Papillary Stenosis

Answer 18

AIDS Cholangiopathy

Question 19

If you can’t remember what the association is, and it’s ductal pathology, always guess

Answer 19

Cholangiocarcinoma

Question 20

Cholangiocarcinoma VS B9 Strictures:

Answer 20

CA Strictures tends to be long, with “shouldering.’

B9 strictures tend to be abrupt and short.