Flashcards in Imaging the GI tract and GI diseases Deck (43):
1
What is required to complement radiological investigations
Blood Tests
2
What is the first line investigation for cholecystitis
Ultrasound
3
What exacerbates cholecystitis
Eating
4
What are the risks of having an ERCP
Pancreatitis
5
How do patients normally present with pancreatitis
Epigastric / diffuse abdominal pain
6
What is raised in pancreatitis
Amylase
7
Why might an ultrasound be useful in pancreatitis
To investigate whether gall stones have caused it
8
What are complications of pancreatitis
Necrosis
Pseudocysts
Intra-abdominal collections
Vascular complications
9
What is the purpose of imaging in pancreatits
To evaluate the complications
10
When is imaging best performed following the onset of symptoms?
1 week
11
What is the first line investigation for a perforation
Erect chest Xray
12
Why do we need an erect chest x ray
To allow us to see if there is air under the diaphragm
13
What do we need to rule out in females with suspected appendicitis
Gynaecological pathology
14
What are the first line investigations for appendicitis
Ulstrasound - confirms the diagnosis and allows us to find an alternative cause
15
Where is diverticulitis classically
In the LIF
16
Where is diverticulitis classically
In the LIF
17
What are 2 associations with diverticulitis
Diarrhoea
PR bleeding
18
What is diverticulitis
Inflammation associated with diverticular disease
19
What is a main investigation for diverticulitis
CT - shows inflammatory change and associated complications
20
What are 2 non GI causes
Urological or vascular
21
Where does vascular pain radiate to
The back
22
What are 2 causes of distended abdomen
Bowel gas and fluid
23
What is the first line investigation for a suspected bowel source
AXR
24
What is an Ileus?
Like an obstruction - the bowels are really irritated and there is a lot more gas than there should be.
Often occurs after surgery
25
What other investigations for an obstruction
CT
26
What are 4 causes of haematemesis
Tumour
Inflammation
Trauma
Vascular causes (varices)
27
What is the first line investigation for haematemesis
Endoscopy
28
What is the first line investigation for haematemesis
Endoscopy
29
When do we do a CT contrast for a patient with haematemesis
When they are still bleeding
30
What is the first line investigation for dysphagia
Endoscopy
31
What is the radiological investigation for a change in bowel habit?
Barium enema or CT virtual colonography
32
What are the benefits of a barium enema
Quick
Inexpensive
Widely available
33
What is the main disadvantage of a barium enema
You can miss up to 1 in 5 cancers
34
What are the two investigations for suspected Inflammatory Bowel disease
Endoscopy or a barium meal
35
What is the most important part to look at
The terminal ileum
36
When is a small bowel MRI used?
In known cases of small bowel Crohn's or Large bowel Crohn's with suspected small bowel involvement
37
What can a radio-labelled white cell scan localise
Active inflammation
38
What is a type of hepatic jaundice
Hepatitis
39
What is a cause of post hepatic jaundice
Gall stones
40
What is the purpose of radiological investigations in jaundice?
To determine whether it is hepatic or post hepatic causes
41
What is the first line investigation for jaundice
Ultrasound
42
What further investigations for jaundice may be required
MRCP or ERCP
43