Small Bowel

Question 1

Scleroderma

Answer 1

Abnormal motility, dilation, hidebound folds–muscularis is replaced by fibrosis.

Question 2

Whipple

Answer 2

Diffuse fold thickening with fine nodularity, adenopathy may occur, interstinal lipodystrophy.

Question 3

Amyloidosis

Answer 3

Diffuse fold thickening with fine nodularity, tiny nodule filling defects

Question 4

Lymphangiectasia

Answer 4

Diffuse fold thickening with fine nodularity, mesenteric adenopathy. Dilated lymphatics in wall.

Question 5

Ig deficiencies

Answer 5

Diffuse fold thickening with fine nodularity, nodular lymphoid hyperplasia.

Question 6

Mastocytosis

Answer 6

Diffuse fold thickening with fine nodularity, hepatomegaly, PUD, dense bones.

Question 7

Eosinophilic gastroenteritis

Answer 7

Very thick folds (polypoid), food allergy 70%

Question 8

Graft-versus-host disease

Answer 8

Effaced folds (ribbon-like); bone marrow transplants

Question 9

Mycobacterium avium-intracellulare

Answer 9

Diffuse fold thickening with fine nodularity, mesenteric adenopathy, pseudo-whipple’s, immunocompromised host.

Question 10

Sprue

Answer 10

Tropical, nontropical (gluten), celiac

Dilatation of small bowel, decreased jejunal folds, increase in height and number of ileum. Nodular changes of the duodenum. Intussception, increased secretions. Reverse jej and ileum sign.