Radiology Flashcards
What is first imaging modality for localized form at ovary?
Endometrioma
First image for highly suspicious renal stone
Ct abdo KUB noncontrast for male
Ultrasound for female if unsure if preg or not.
Where do stones like to get caught
UPJ, UVJ, and where ureter crosses iliac vessels
What % of people have radiolucent stones.
40%
Hiv -ovir treatment can get stones.
Gout
On those with known renal stones, what is another option, and to look for filling defect?
IVP
What is the modality of choice for preg woman?
What is twinkle artifAct?
Ultrasound. Can’t see very distally from kidney though.
MRI is another good one.
Twinkle artifact means stone.
What is best imaging for pyelonephritis.
Wedge shaped deck enhance striated areas on coronal. And
CT contrast
Renal abscess imaging?
ContrSt ct
Imaging on renal cancers?
Ct with or without contrast.
What is beta HCG number that SOMETHING should be seen in the uterus?
> 1500 (1500-2000)
What to start with in us opof genitogyne tract?
Start w transabdo…. See if you can see uterus, gestation. Orient, etc.
then Transvag us which is diagnostic of ectopic if outside uterus.
For ruptured ectopic, what pouch can look at distantly to assess for free fluids?
Morrison pouch
Ddx for T1 vag bleed?
Subchorionic hemorrhage…. Between amnion and uterus wall.
Small is 50%.
Fo,lowed by gyne to ensure it resolves.
Young woman w thyroid mass. First imaging modality?
Ultrasound. And order TSH!
Diff btwn iodine 123 and 131?
123 for diagnosis. (Some place Tc 99)
131 for TREATMENT ie ablation,
What would you want to biopsy a thyroid nodule for?
If it doesn’t look like a perfect little cyst.
If cold on diagnostic scanneed to go on to FNAB r/o malignancy
If no uptake, what to considere?
Serum thyroglobulin…. If inc the thyroiditis, if dec the thyrotoxicosis.