Scans Flashcards

1
Q

Problems with ultrasound

A

User error
Patient BMI
Dilated bowel loops air blocks view
Need to have drunk clear fluids 6 hours before

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2
Q

What does the gallbladder do when you fast?

A

Distend

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3
Q

What is difficult t visualise on US?

A

Appendix, ovaries and tubes, gallstones (only 15-20% show)

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4
Q

Investigation for pyelonephritis

A

US KUB

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5
Q

When do you need to intervene with kidney stones?

A

When over 10mm - lithroscopy or urinary stent

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6
Q

Indications for arterial contrast CT abdo

A

Pseudo aneurysm
Ischaemic
Ruptured AAA

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7
Q

Where do you put contrast for bowel imaging?

A

Venous portal - bowel wall supply

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8
Q

When would u do a US over a CT?

A

Gallstones, cholecystitis

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9
Q

What are psuedocysts and when do they occur in pancreatitis?

A

Collections around pancreas, after 6 weeks

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10
Q

Why do you not use contrast CT with kidney stones?

A

Makes stones less clear

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11
Q

What scan do you use when unsure of appendicitis?

A

CT

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12
Q

What is hinchy classification and what is it for?

A

Grading for perforation in diverticulits

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13
Q

What bacteria is as with haemolytic uraemic syndrome?

A

E.coli

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14
Q

Complications of colonoscopy

A

Perforation, bleeding, sedation complications

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15
Q

PARAMETERS for referral with FIT test

A

> 350 once
100 twice

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15
Q

PARAMETERS for referral with FIT test

A

> 350 once
100 twice

16
Q

What diseases can you take biopsies with

A

GORD, hiatus hernia, barrets oesophagus, gastritis, duodenitis

17
Q

Where does a flexible sigmoidoscopy image?

A

Inspection of LHS bowel - doesnt go past colonic flexure

18
Q

Which side is a stoma often on in an ileostomy?

A

Right

19
Q

Which surgery results in a flush stoma? Why?

A

Colostomy - LHS
More solid in this part of bowel, less likely to irritate stoma

20
Q

What to look at in an abdo X ray

A

Patient details
Projeciton
Technical adequacy
Obvious abnormalities
Systematic review - bowel gas pattern, soft tissues, bones, calcifciation and other

21
Q

How can you identify large bowel on an abdo X ray

A

Haustra- not full width bowel
Faeces - mottled
More peripheral

22
Q

How big should the large bowel be on X ray

A

<6cm
<9cm for caecum

23
Q

Risk factors for large bowel obstruction

A

Colorectal cancer
Constipation
Diverticular disease
Faecal impaction
Volvulus

24
Q

Small bowel features on X ray

A

Central
Valvulae conniventes - mucosal folds full width of bowel

25
Q

How big is small bowel meant to be width

A

> 3cm dilatiation

26
Q

Clinical features small bowel obstruciton

A

Abdo pain
Distension
Vomitting
Absolute constipation including flatus
Lack of bowel sounds or tinkling bowel sounds

27
Q

Causes of small bowel obstruction

A

Adhesions following surgery
Hernias
Crohns
Caecal cancer

28
Q

What can calcifications be on abdo X ray

A

Kidney stones + gallstones
Phleboliths - venous calcifications
Vascular structures eg aorta

29
Q

What is riglers sign?

A

Inside and outside of bowel visible free air in abdomen

30
Q

Chilaidatis phenomenon what is? Which patients have it?

A

Cirrhosis, small liver, hyper expanded lings - COPD
Upper abdomen filled free air in abdo