Lecture 5 Flashcards
(20 cards)
Right shoulder and aggravated by fatty meals associated with vomiting?
Acute calculus cholecystiyis
Ultrasonography
Acute cholecystitis
-GB wall thickening
-GB distension
-surrounding fluid
-gallstone
Chronic alcoholic consumption and complaining of fatigue, disorientation and abdomen distension?
Cirrhosis
Liver cirrhosis
-nodular surface
-shrunken size
-hyper echoic parenchyma
-ascites
Which modality can we use triphasic scan?
CT
Triphasic scan?
-arterial phase
-portal venous phase
-delayed/equilibrium phase
Why we use triphasic scan?
It helps in the differentiating benign from malignant masses
Black (no enhancements ) to white (enhancements)
-Benign
-hemangioma
White(enhancements ) to black (no enhancements )
-Malignant
-hepatocellular carcinoma
Chronic abdomen pain
Gallbladder calcification
Gallbladder calcification
Porcelain gallbladder
And
Gallbladder stones
Which modality is better for GB calcification?
MRI
Ruq pain yellow discoloration of sclera, pale stool and dark urine?
1st use ultrasound
Then 2nd MRI
Thalassemia with repeated blood transfusion
-MRI
-LIVER AND SPLEEN DARK
If CT and MRI not conclusive for cholecystiyis. What modality do we use?
Nuclear scan
Indications for HIDA scan
-biliary atresia
-bile injury lost surgery
-bile obstruction
-acute cholecystitis
Acute pancreatitis
Enlarged pancreas
2 types of acute pancreatitis
-interstitial edematous pancreatitis
-necrotizing pancreatitis
Imsulinoma
MRI
low T1 and high T2
Pancreatic adenocarconoma
Poorly enhanced heterogeneous mass at the pancreatic head associated with dilation of the pancreatic duct
