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DM GI Radiology

Radiology GI

QuestionAnswer
The best position to identify free intraperitoneal air? Upright chest xray including the diaphragms
________is an imaging technique to obtain real-time moving images of the patient with x-rays. Fluoroscopy
______Evaluates patency, extrinsic abnormalities, and luminal narrowing, but has limited evaluation of mucosal detail Fluoroscopy
_________Evaluates fine mucosal detail that allow pathology from early inflammatory changes and tumor formation to be detected Double contast Fluorscopy. Patient ingests barium followed by effervescent granules or air insufflation per rectum
2D cross-sectional images of the body are made using CT
_____________differ from most other imaging modalities in that tests show the physiological function of the system as opposed to traditional anatomical imaging such as CT or MRI. Nuclear medicine. Radiotracer (such as HIDA) is injected into the patient and images are obtained with a camera
Best test for cholecystitis HIDA (hepatociliary iminodiacetic acid scan. creates pictures of your liver, gallbladder, biliary tract and small intestine to evaluate for cholecystitis.
___ is a nuclear medicine technique that evaluates for GI bleeds by looking for a collection of radiotracer in a distribution that matches bowel Tc99m
Common indications for Abdominal radiograph Obstruction, ileus, free air
Common indications for US Cholecystitis, abdominal aortic aneurysm, Liver cirrhosis, patency of hepatic vasculature, appendicitis
Hiatal hernias and esophageal varices can be assessed with barium swallows
Diverticulitis, colitis, colonic masses (usually in the setting of failed colonoscopy) can be assessed with Barium enema
Indications for CT cholecystitis, bowel obstruction, abdominal tumors, complications in pancreatitis and liver cirrhosis
Indications for MRI Complications of liver cirrhosis, biliary tract obstructions and evaluate/stage abdominal tumors
_____ can be used to assess an acute lower GI bleed Tagged RBC scan
Etiologies for narrowing of the distal esophagus tumor, strictures (often GERD), Chagas, Achalasia
____ can be used to assess esophageal varcies Single-contrast barium esophagram
___ reveals gastric anatomy and adenocarcinoma Single-contrast barium
Linnitus plastica is a finding associated with gastric adenocarcinoma
Where is it normal to have air-fluid levels? in the colon
"string sign" is seen using which imaging modality in Crohn's disease? Barium studies
"sunburts" pattern on a CT is consistent with what diagnosis? Carcinoid tumor. Strands go out from the carcinoid cells to the mesenteric nodes
FAP can be imaged with what modality? Double contrast barium enema
Ulcerative colitis can be viewed using air-contrast barium enema
"apple core" is used to describe a constricting lesion of colon adenocarcinoma. Can be imaged with double contrast barium enema
Study of choice to image diverticulitis abdomen and pelvis CT
Imaging for Hepatocellular Carcinoma Contrast-enhanced CT can show multiple hypodense nodules representing hepatocellular carcinoma
Which is more sensitve for imaging hepatocellular carcinoma? CT or MRI MRI
Advantage of using MRCP in choledocholithiasis therapeutic, can remove stones
Which modality is best when looking at the biliary system? MRI or CT? MRI. You can subtract the parts that you don't want to see
What can be used to tell the difference between a tumor and a stone in the gallbladder? Shadow (stone)
Imaging options for visualizing the pancreas CT and MRI (contrast on board to highlight the pancreatic parenchyma)
Air in the pancreatic bed is indicative of abscess and/or fistulous communication with bowel
Plain radiographs are useful to rule out free air and obstruction
Number 1 cause of acute lower GI bleed angiodysplasia (70-80%), Diverticular dz (33%)
disadvantage of CT in GI bleeds CT is insensitive to localize the site of bleeding
Colonoscopy is the preferred imaging method in GI bleeds that are hemodynamically stable. Direct visualization and therapeutic options
____ is best suited for identifying slow-bleeding and needs to be done during active bleeding Tc99m tagged RBC scan
_______ is best suited for briskly bleeding and needs to be done during active bleeding mesenteric angiogram
Created by: ltm12
 

 



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