Stomach Flashcards

(19 cards)

1
Q

What is the normal appearance of the stomach?

A

Normal size and content

Assessment should consider when the patient last ate.

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2
Q

What are the differentials for a fluid dilated stomach?

A

Gastric dilation and volvulus (GDV), functional ileus, pyloric outflow obstruction

It’s important to differentiate between these conditions.

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3
Q

What is the significance of taking 3 views of the abdomen?

A

It allows for better visualization of different parts of the GIT

Lateral and VD views help in assessing gas movement.

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4
Q

What are the two types of small intestine obstructions?

A

Mechanical obstruction and functional ileus

Mechanical obstructions are often surgical, while functional ileus can indicate gastroenteritis.

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5
Q

What is the diagnostic test of choice for pancreatitis?

A

Ultrasound (US)

Radiography is not effective for diagnosing pancreatitis.

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6
Q

What is the typical appearance of the pancreas on ultrasound?

A

Usually not seen; may appear as a hypoechoic area amidst severe steatitis

Steatitis appears as large hyperechoic areas.

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7
Q

True or False: Hypoadrenocorticism can be diagnosed through imaging.

A

False

Diagnosis requires bloodwork testing after observing small adrenal glands on US.

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8
Q

What is the most common reason for taking abdominal radiographs in practice?

A

Assessment of the stomach’s content

Plain radiographs are preferred for this purpose.

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9
Q

What should be done before performing radiography on a patient?

A

Fast the patient for at least 12 hours

Knowing the last feeding time is crucial for GIT interpretation.

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10
Q

What indicates the presence of a gastric foreign body?

A

Presence can cause vomiting without obstruction

Foreign bodies can be clinically silent and obscured by ingesta.

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11
Q

What is the normal gastric emptying time for liquid in dogs?

A

Maximum of 2 hours

Ingesta can remain in the stomach for up to 3 days.

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12
Q

What does a pyloric outflow obstruction look like on a left lateral view?

A

Formed soft tissue opaque foreign body in the pylorus

It may not be visible on the right lateral view due to fluid effacing.

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13
Q

What are some causes of fluid dilation of the stomach?

A
  • Functional ileus
  • Gastritis
  • High obstruction (pyloric outflow obstruction or duodenal obstruction)

Differentiation may require ultrasound or contrast studies.

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14
Q

What is the key to diagnosing gastric dilation and volvulus (GDV)?

A

Identifying the pylorus in an abnormal dorsal location

The pylorus should be on the left side in DV views.

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15
Q

What is the normal wall thickness of the GIT determined by?

A

It cannot be determined on radiographs

Fluid in the lumen can make the wall appear thick.

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16
Q

What is the typical location of the pylorus in dogs compared to cats?

A

In dogs, it is on the right side; in cats, it is more caudal and on the midline

This affects the angle of the pylorus in lateral views.

17
Q

Fill in the blank: Gastric emptying time in healthy dogs is highly variable and takes an average of ______.

A

3 days in hospital

18
Q

What is the appearance of ingesta in the small intestine compared to the stomach?

A

Homogenous soft tissue opacity in the small intestine

Ingesta can be seen if there is a lot in the stomach.

19
Q

What is the role of endoscopy in gastrointestinal imaging?

A

Not considered ‘diagnostic imaging’

It is limited to the stomach, proximal duodenum, and colon.