Abdominal Masses Flashcards Preview

Study Notes - Gastroenterology > Abdominal Masses > Flashcards

Flashcards in Abdominal Masses Deck (26)
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1

Anorexia?
Malena?
Frank blood in stools?
dysuria?
Pyuria
Haematuria
pneumaturia

Loss of appetite
dark stools - altered blood
bright red blood
painful micturition
pus in urine
blood in urine
air bubbles in urine

2

What can cause prominent veins over the abdomen?

Blockage of IVC

3

Describe the movement of retro-peritoneal and masses in the messentery

RP will be fixed (difficult to feel unless very large)
Mesentery = move only obliquely

4

What causes expansile pulsating masses?

Blood vessel e.g. aortic aneurysm

5

What does a fluctuation in a mass mean

It is full of fluid

6

What are tender masses often due to

Infection or impending rupture e.g. AA, appendicular abcess

7

What does no bowel sounds indicate

Paralytic ileus

8

What does increased bowel sounds mean

mechanical bowel obstruction

9

Indirect investigations of a mass? (6)

X-ray, US, CT, MRI, contrast studies, radio-isotope scans

10

What contrast study can be used to examine the kidneys, bladder and uterus

Intra-venous urogram

11

What contrast study can be used to look at the stomach, duodenum and a small intestine

Barium meal

12

What type of enemas do you get

Double contrast barium enema (using barium sulphate and air)
Gastrographin enema (water soluble medium)

13

What can be used to look at the venous outline

Angiography

14

what radio-isotope scan can be used to look at the gall bladder and liver

Hepatobiliary IminoDiacetic Acid scan

15

Radio-isotope scan for bones

Tc99

16

What radio-isotope scan for thyroid and secondaries

radio iodine I131

17

What contrast is used to show up highly vascular and inflamed areas

Gallium 67

18

What type of direct investigations are there (4)

Endoscopy
laparoscopy
Endoscopic Retrograde Cholangio-Pancreatography
biopsy

19

Types of rigid endoscopy

Sigmoidoscope
Cystoscope
Proctoscope

20

Types of flexible endoscopy

cystoscope
gastroscope
colonoscope

21

Types of biopsy

Open, needle, endoscopic

22

What doesEndoscopic Retorgrade Cholangio-Pancreatography show

pancreatic and bile ducts pathology

23

How to classify abdominal masses by anatomy (3)

Anatomical:
intra-periotneal
extra-peritoneal
retro-peritoneal


24

How to classify abdominal masses according to cause (6)

Causes:
congenital
neoplastic
infectious
inflammatory
traumatic
degenerative

25

How to classify abdominal masses according to clinical course (2)

clinical course:
acute
chronic

26

How to classify abdominal masses according to original tissue or organ (9)

Original tissue or organ:
gastro-intestinal
hepato-biliary
pancreatic
splenic
vascular
urologic
gynaecologic
neurogenic
connective tissue