Lecture 18: Imaging of Abdomen Flashcards

1
Q

What structures can be seen at the T11 level?

Be sure to look at the images on the slides

A
Spleen
Stomach 
Liver
Aorta
IVC
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2
Q

What structures can be seen at the T12 level?

Be sure to look at the images on the slides

A
Pancreas
Spleen
Kidneys (left)
Gallbladder
Portal Triad
SMA
Aorta
IVC
Small Bowel
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3
Q

What structures can be seen at the T12-L1 level?

Be sure to look at the images on the slides

A
Kidneys
Gallbladder
Biliary Tree
SMA
Left Renal Vein
Aorta
IVC 
Small Bowel
Colon
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4
Q

What structures can be seen at the L3-L4 level?

Be sure to look at the images on the slides

A

Right Kidney
Small Bowel
Ascending and Descending Colon
Abdominal Musculature

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5
Q

What can be used to diagnose and treat problems of the bile and pancreatic ducts?

A

ERCP

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6
Q

What is normally used to diagnose gallstones?

A

Ultrasound

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7
Q

What is the best method to view abdominal vasculature?

A

Digital subtraction arteriography

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8
Q

What x-ray view is best for assessing SMA and nutcracker syndromes?

A

Mid-saggital view

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9
Q

What is Superior Mesenteric Artery Syndrome?

Be sure to look at the images on the slides

A

Horizontal part of duodenum compressed b/t aorta and SMA

-blockage of duodenum

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10
Q

What is Nutcracker Syndrome?

Be sure to look at the images on the slides

A

Left renal vein compressed b/t aorta and SMA

-can lead to hematuria

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11
Q

What is Zenker’s diverticulum?

Be sure to look at the images on the slides

A

Pouch that can form in esophageal wall adjacent to inferior pharyngeal constrictor and cricopharyngeus muscle
-can trap food and cause bad breath

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12
Q

What is ulcerative colitis?

Be sure to look at the images on the slides

A

Long-lasting inflammation in digestive tract

  • spasms of longitudinal muscles
  • irreversible fibrosis
  • loss of haustral markings
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13
Q

What causes gallstones?

Be sure to look at the images on the slides

A

High concentration of cholesterol or bilirubin

Inefficient emptying of gallbladder

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14
Q

What is a Shatzki’s ring?

Be sure to look at the images on the slides

A

Narrowing of esophagus by a ring of mucosal or muscular tissue close to stomach
-difficulty passing food

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15
Q

What is Hirschsprung’s disease?

Be sure to look at the images on the slides

A

Abnormal colonic dilation or distention

  • absence of NC migration and ganglionic plexus
  • cannot make bowel movement
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16
Q

What is ascites?

Be sure to look at images on the slides

A

Fluid buildup in the abdomen due to portal HTN from CHF, ESRD, liver disease
-pain and bloating

17
Q

Hiatal hernia

Be sure to look at images on the slides

A

bulge of stomach/esophageal hiatus into thorax
Sliding: lower esophagus is forming the pouch
Paraesophageal: fundus part is forming the pouch