Abdomen Flashcards
(27 cards)
Supine AXR may show?
- bowel obstruction
Erect AXR may show?
- pneumoperitoneum
MRI advantages?
- no radiation
- good for soft tissue
RIF pain may be??
- appendicitis
- renal colic
- ttubo-ovarian pathology
Symptoms of appendicitis?
- periumbicial pain then localising to RIF
- nausea, vomiting
Investigations for appendicitis?
- Clinical
- USS
- CT
Renal colic may present with what symptoms?
- loin to groin pain
Radiological investigations for renal colic?
- CT KUB
Causes of LIF pain?
- diverticultis
- colitis
- colorectal cancer
- renal colic
- tubo-ovarian pathology
Gold standard investigation for diverticulitis?
- CT with contrast
Common complication of diverticulitis?
- fistula with bladder
- CT shows gas anterior to bladder
Causes of epigastric and RUQ pain?
- biliary colic
- cholecystitis
- pancreatitis
- perforation
How might biliary colic present?
- right shoulder pain
First line radiological investigation for cholecystitis?
- USS
- CT
- MRCP
- ERCP
Difference between MRCP and ERCP?
- MRCP = non-invasive
- ERCP = invasive, can be used to treat
Potentially life threatening complication of pancreatitis?
- pseudoaneyrsm
Common causes of perforation in the abdomen?
- peptic ulcer
- diverticular
Investigations into perforation in the abdomen?
- erect CXR
- CT
What is a gallstone ileus
- bowel obstruction
- large stone creates a fistula between gallbladder and duodenum
- large stone gets blocked
Causes of abdominal pain and distension
- bowel obstruction
- masses
- ascities
How does small bowel obstruction appear on AXR
- Centrally dilated loops of bowel
How does large bowel obstruction appear on AXR?
- Peripheral dilated bowel loops
Large bowel obstruction is ___ until proven otherwise?
- colorectal cancer
Causes of sudden abdominal pain and shock?
- bowel ischaemia
- perforation
- pancreatitis (pseudoaneyrsm)
- ruptured AAA
