Signs and Syndromes

Question 1

Whipple’s Disease

Answer 1

Weight loss, fever, diarrhea, steatorrhea, abdominal signs, arthralgia, arthritis; Alteration in appearance of mucosal fold pattern: valvulae conniventes thickened; More prominent in jejunum; Ddx: Intestinal lymphangiectasia

Question 2

Stierlin’s sign

Answer 2

Ileocecal TB – rapid emptying of narrowed terminal ileum when filling retrograde or antegrade from barium enema

Question 3

Budd-Chiari Syndrome

Answer 3

Thrombosis of main hepatic veins, branches or of IVC

Question 4

VernerPMorrison Syndrome

Answer 4

VIP producing tumors + watery diarrhea

Question 5

Ogilvie Syndrome

Answer 5

Pseudoobstruction in elderly

Question 6

Sentinel Loop

Answer 6

Paralytic ileus

Question 7

String of Beads Sign

Answer 7

Mechanical SI obstruction

Question 8

Thumbprinting or Scalloping

Answer 8

Submucosal hemorrhage/edema

Question 9

Accordion Pleating, Stacks of Coins, Coiled Spring

Answer 9

Intramural hemorrhage in small intestine

Question 10

Crohn’s Disease

Answer 10

Ram’s horn sign, string sign, skip lesions, double halo sign, target lesion or aphthous ulcers

Question 11

Ulcerative Colitis

Answer 11

Collar-button ulcer, lead pipe appearance

Question 12

Moulage Sign

Answer 12

Celiac sprue

Question 13

Blumer’s Shelf

Answer 13

Tumor in prerectal pouch of Douglas

Question 14

BullsPeye Sign

Answer 14

Gastric metastases secondary to melanoma (also lungs, pancreas and colon)

Question 15

Volvulus

Answer 15

Coffe-bean/ omega sign, pseudotumor sign, bird’s beak sign

Question 16

Duodenal, Ileum, Colon CutPoff Signs

Answer 16

Acute pancreatitis

Question 17

Reverse Figure 3 Sign

Answer 17

Pancreatitis

Question 18

Pad Sign

Answer 18

Pancreatic mass

Question 19

Frostberg Sign

Answer 19

Pancreatic Head Mass

Question 20

Body Cast Syndrome

Answer 20

Acute gastric dilatation with hip spica cast

Question 21

Pyloric Stenosis

Answer 21

String sign, double track sign, pyloric beak, shoulder sign

Question 22

Double Bubble Sign

Answer 22

Duodenal atresia (also in pancreatic head mass)/ duodenal atresia

Question 23

Liver Mets in MRI

Answer 23

Amorphous sign (MC);
Halo sign (3rd MC);  
Target sign (2nd MC);
Changed morphology sign (4th MC)

Question 24

Sandwich Sign

Answer 24

Retroperitoneal LADPs around mesenteric vessels

Question 25

Periportal Collar Sign

Answer 25

Acute liver rejection after transplantation

Question 26

Rim Sign

Answer 26

Acute cholecystitis, with 99TcIDA

Question 27

Meconium Plug Syndrome

Answer 27

Difficulty in passing 1st meconium + signs of obstruction

Question 28

Inspissated Milk Syndrome

Answer 28

Premature babies on powdered milk (probably secondary to immature distal colon); masses of milk causing small intestinal obstruction

Question 29

Prune Belly Syndrome

Answer 29

Deficient abdominal muscles + undescended testes + urinary tract abnormalities

Question 30

Blind Loop Syndrome

Answer 30

Duodenal diverticula causing Vit B12 deficiency, hyperchromic anemia and diarrhea secondary to bacterial activity

Question 31

Wind sock Sign

Answer 31

Imperforate anus (obstruction of distal colon)

Question 32

String Sign

Answer 32

Regional enteritis (sclerotic phase)

Question 33

Malabsorption Syndrome

Answer 33

Defective absorption of CHO, protein and fat

Question 34

Napkin Ring Sign

Answer 34

Infiltrating or annular colonic Ca