wk 8 9 Imaging

Question 1

4 causes of epigastric pain

Answer 1

MI
peptic ulcer
acute cholecystitis
perforated oesophagus

Question 2

RUQ pain could be 7

Answer 2

acute cholecystitis
duodenal ulcer
congestive hepatomegaly 
Hepatitis
pyelonephritis (renal disease) 
appendicitis 
Pneumonia

Question 3

LUQ could be 6

Answer 3

ruptured spleen
gastric ulcer 
aortic aneurysm 
perforated colon 
pyelonephritis (renal disease) 
pneumonia

Question 4

aortic aneurysm could be

Answer 4

LUQ

LLQ

Question 5

early appendicitis pain would be

Answer 5

LLQ

Question 6

pain from UC most likely

Answer 6

LLQ

Question 7

MEckels diverticulitis would be associated with pain in

Answer 7

RLQ

Question 8

presentation of cholecystitis

Answer 8

cholecystitis - cystic duct - gallstones

RUQ pain
exacerbated by eating
+/- weird LFTs

Question 9

first line for suspected cholecystitis

Answer 9

US

followed up by MRCP / ERCP

Question 10

presentation of pancreatitis

Answer 10

epigastric/diffuse ab pain

high serum amylase

Question 11

causes of acute pancreatitis

Answer 11

Idiopathic
Gallstones (common)
Ethanol (most likely) 
Trauma
Steroids 
Mumps
Autoimmune
Scorpion bite
Hyperlipidemia/triglyceridemia
ERCP 
Drugs

Question 12

define pseudocyst

Answer 12

thin walled structure/cavity of epithelium, indicative of pancreatitis

Question 13

first line investigation for suspected perforation

Answer 13

erect CXR

followed by CT

Question 14

describe pain of appendicitis

Answer 14

central ab pain
later localised in RIF
may be referred pain to left side (rosvings sign)

Question 15

appendicitis in female patient, what else should be considered

Answer 15

gynaecological pathology

Question 16

first line for appendicitis

Answer 16

US

Question 17

diverticulitis is classicly

Answer 17

LIF

lower ab pain

Question 18

t/f diarrhoea and PR bleeding associated with diverticulitis

Answer 18

true

would expect elevated inflam markers

Question 19

vascular causes of abdominal pain would most likely be ____ onset and associated with ____ pain and _____

Answer 19

sudden onset

associated back pain and hypotension

Question 20

patient presents with distended abdomen, if bowel source is suspected what is the first line investigation

Answer 20

AXR

Question 21

distended abdomen due to fluid, what is the first line investigation

Answer 21

US

Question 22

CT scan to investigate acute haematemesis, which contract oral or IV would be used

Answer 22

IV

+/- angiography and intervention

Question 23

protocol for lower GI bleed

Answer 23

same as upper

CT +/- angiography and intervention

Question 24

dysphagia investigated by

Answer 24

endoscopy

Question 25

when would a change in bowel habit lead to a PR exam

Answer 25

presence of ab pain, anaemia, weight loss

Question 26

radiological investigations of a change in bowel habit would be

Answer 26

barium enema 
CT colonography (better)

Question 27

small bowel disease suspected, what type of investigation

Answer 27

fluoroscopic contrast study

will show if stricutre/wall thickening/ fistulation

Question 28

known small bowel crohns/ large bowel with small bowel crohns would be investigated usiing q

Answer 28

MRI

Question 29

what type of scann can localise active inflammation

Answer 29

radio-labelled white cell scan

Question 30

associated symptoms of jaundice

Answer 30

weight loss
ab pain
ascites
itch

Question 31

if jaundiced what is the first line iinvestigation

Answer 31

US

good at determining intra/extra biliary tree dilation, less reliable at cause - MRCP +/- ERCP next step