Top 3 Flashcards

1
Q

Dense liver

A

Iron deposition
Amiodarone
Glycogen storage disease
Also consider Gold, Thorotrast

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2
Q

Nodular liver contour

A

Cirrhosis
Treated mets
Budd-Chiari
Also consider: Schistosomiasis, confluent hepatic fibrosis

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3
Q

Esophogeal diverticulum

A

Proximal pulsion - Zenker, Kilian Jamieson
Distal pulsion - epiphrenice
Mid traction
Also consider intramural pseudodiverticulosis

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4
Q

Solitary hypodense, hypovascular liver mass

A

Cyst, solitary met, abscess

Also consider: cholangiocarc, biliary cystadenoma, trauma

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5
Q

Multiple hypodene liver lesions

A

Cyst, mets, abscesses

Also consider cholangiocarc

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6
Q

RUQ cystic mass child

A

Choledochal, pseudocyst, duplication cyst or diverticulum

Also consider: ovarian cystic lesion, mesenteric cyst

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7
Q

Esophageal submucosal masses / thickened folds

A

Varices, reflux, caricinoma

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8
Q

Esophageal dilatation

A

Achalasia, scleroderma, gastric or oesophageal Ca.

Also consider: esophagitis with stricture, post surgical vagotomy

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9
Q

Esophageal pseudodiverticuli

A

Reflux oesophagitis, candida oesophagitis, superficial spreading carcinoma
Also consider: drug-induced oesophagitis

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10
Q

Esophageal ulcers

A

Reflux oesophagitis, viral oesophagitis (CMV, HIV, HSV), Drug induced oesophagitis
Also consider: caustic, cancer

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11
Q

Solid pancreatic mass

A

Adeno, islet cell, SPEN

Also consider: lymphoma, mets

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12
Q

Linitis plastica

A

Gastric Ca, Mets, lymphoma

Also consider: Crohn’s

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13
Q

Gastric ulcer

A

PUD, ca, lymphoma

Also consider: mets, Zollinger-Ellison

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14
Q

Thickened gastric folds

A

Hypertrophic gastritis, Ca, lymphoma

Also consider: menetriers, mets

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15
Q

Caecal mass

A

Appendicitis/abscess, Caecal/appendiceal Ca, appendiceal mucocele
Also consider, lymphoma, adnexal mass

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16
Q

Mesenteric mass

A

Mets, carcinoid, desmoid (Fibrosing mesenteritis)

Also consider: reactive lymphadenopathy (TB, MAC, Whipples), mesothelioma

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17
Q

Terminal Ileum thickening

A

IBD, infection (TB, bacterial), lymphoma

Also consider ischaemia, mets

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18
Q

Colon wall thickening

A

Infection, IBD, Ca.

Also consider Ischaemia

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19
Q

Small bowel wall thickening

A

Crohns, lymphoma, haemorrhage

Also consider: mets, amyloid, Whipples

20
Q

Short segment oesophageal stricture

A

Reflux, drug-indiced, Ca

21
Q

Long segment oesophageal stricture

A

Iatrogenic (NG), caustic, radiation

22
Q

Small bowel dilatation

A

Obstruction, ileus, coeliac sprue

Also consider scleroderma

23
Q

Cystic pancreatic mass

A

Pseudocyst, mucinous, serous

Also consider IPMN, SPEN

24
Q

Hypervascular liver mass

A

Haemangioma, FNH, HCC

Also consider adenoma, mets

25
Q

Multiple splenic masses

A

Mets, lymphoma/leukamia, abscesses

Also consider granulomas (TB, sarcoid), infarcts

26
Q

Intrahepatic biliary ductal strictures

A

PSC, ascending cholangitis, AIDS cholangiopathy

Also consider neoplasia, posttransplant ischaemia

27
Q

Solitary renal mass

A

RCC, oncocytoma, AML

Also consider TCC, lymphoma

28
Q

Multiple bilateral renal masses

A

Lymphoma, infection, RCC

Also consider: AML, mets

29
Q

Cystic renal mass

A

Complex cyst, cystic neoplasm (RCC adult, Wilms child), multilocular cystic nephroma
Also consider: MCDK (focal), abscess

30
Q

Retroperitoneal mass

A

Retroperitoneal haemorrhage, lymphadenopathy, abscess

Also consider retroperitoneal fibrosis, sarcoma

31
Q

Cortical nephrocalcinosis

A

Acute renal cortical necrosis, chronic glomerulonephritis, oxalosis
Also consider transplant rejection, Alports

32
Q

Medullary nephrocalcinosis

A

Hypercalcuria, MSK, RTA (type 1)

Also consider: papillary necrosis (analgesic nephropathy, furosemide (newborn), TB

33
Q

Striated nephrogram

A

Infection, urinary obstruction, renal vein thrombosis

Also consider contusions, hypotension

34
Q

Papillary necrosis

A

Diabetes, analgesics, infection especially TB

Also consider sickle cell, obstruction, renal vein thrombosis

35
Q

Renal cortical defect

A

Reflux, chronic infection, infarct

Also consider: vasculitis, partial nephrectomy

36
Q

Renal pelvic mass

A

TCC, multilocular cystic nephroma, medullary carcinoma

Also consider other RCC

37
Q

Medially deviated ureters

A

Retroperitoneal fibrosis, psoas muscle hypertrophy, pelvic lipomatosis
Also consider retrocaval uterer (unilateral), post-op

38
Q

Ureteral filling defect

A

TCC, radiolucent calculi, ureteritis cystica

Also consider blood clot, fungal ball, mets

39
Q

Bladder filling defect

A

TCC, fungal ball, blood clot

Also consider calculus, extrinsic compression

40
Q

Bilateral renal cysts

A

ADPKD, ESRF (haemodialysis), VHL

Also consider: TS

41
Q

Pear-shaped bladder

A

Pelvic haematoma, lymphadenopathy, pelvic lipomatosis

Also consider: psoas hypertrophy, iliac artery aneurysm

42
Q

Prostate enlargement

A

BPH, ca, prostatitis

43
Q

Bladder wall calcification

A

TCC, Shisto, cystitis (cytotoxin or radiation)

Also consider TB, urachal Ca

44
Q

Adrenal mass

A

Adenoma, mets, haemorrhage

Also consider: phaeo, myelolipoma, cortical carcinoma

45
Q

Fatty retroperitoneal mass

A

AML, adrenal myelolipoma, liposarcoma

Also consider RCC

46
Q

Dilated ureter

A

Obstruction, reflux, primary megaureter

Also consider: Prune-Belly

47
Q

Ureteric stricture

A

Post-trauma, post-infection / inflammation, neoplasia