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39 Cards in this Set
- Front
- Back
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Diffusely enlarged sausage-shaped pancreas with a rind of peripancreatic fibrosis? |
Autoimmune pancreatitis, IgG4 disease |
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Syndrome with esophageal web, iron deficiency, increased incidence of carcinoma? |
Plummer-Vinson
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Diagnosis? |
Zenker diverticulum |
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Diagnosis? |
Epiphrenic diverticulum |
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Diagnosis? |
Killian-Jameson diverticulum (below cricopharyngeus and to the side) |
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Diagnosis? |
AP windows diverticulum |
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Old person. Diagnosis? |
Glycogenic acanthosis |
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Causes of a long stricture? |
NG tube, radiation, caustic ingestion |
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CT with very thick gastric folds in a patient with hypoproteinemia? |
Menetrier's (spares the antrum, involves the fundus) (tx is high protein diet and PPI) |
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What is Cowden Syndrome? |
Multiple hamartomas Breast Ca Thyroid Ca Cerebellar brain tumor |
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What is Carney's Triad? |
Chordoma Extra adrenal pheochromocytoma GIST |
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What is the Krukenberg tumor? |
Metastatic "signet ring" type of cancer spread to the ovaries (usually gastric or colon) |
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Most common extranodal site for non-Hodgkin lymphoma? |
Stomach |
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Classic cause of linitis plastica? |
Scirrhous adenocarcinoma Others: Mets (breast, lung) Granulomatous (TB, sarcoid, chrons) Amyloidosis |
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What to think about in a patient with pancreatitis and isolated gastric varices? |
Splenic vein thrombosis |
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When do the area gastrica enlarge and when do they get obliterated? |
Enlarge: H. pylori Next to an ulcer Obliterate: Cancer Atrophic gastritis |
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What surgeries can afferent limb syndrome be seen in? |
Billroth II Roux-en-y Whipple |
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You see fold thickening and filling defects in a patient s/p Billroth I or II? |
Bile reflex gastritis (bile reflux) |
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Diagnosis? |
Chronic healed duodenal ulcer |
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Diagnosis? What if the patient has a big spleen? |
Whipple's Disease (thumbprinting in the jejunum!) Pseudo Whipple's (from MAI infection) |
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Small bowel fold reversal associated with dermatitis herpetiformis? |
Celiac sprue |
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Ddx? |
Intestinal lymphangectasia Whipple's Lymphoma Mets Lymphoid hyperplasia |
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Most common metastasis to the small bowel? |
Melanoma |
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What are the three hernias a post-gastric bypass patient can get? |
1) Retro roux 2) Through transverse mesocolon (if retrocolic) 3) Through SB anastamosis defect |
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Colon infection that causes bloody diarrhea, spares the TI, has a coned shaped cecum? |
Entamoeba histolytica |
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Where does a sigmoid volvulus point? |
RUQ |
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MRI appearance of regenerative nodule, dysplastic nodule and HCC? |
Regen: T1 dark, T2 dark Dysplastic: T1 bright, T2 dark HCC: T1 dark, T2 bright, enhances |
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Name these |
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Name these |
1. Bile duct 2. Hepatic artery 3. Portal vein BA P |
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Multiple liver abscesses, organism? |
Klebsiella |
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Most common location for hepatic adenoma? |
Right lobe |
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What type of hepatic tumor is gallium avid? |
Fibrolamellar HCC |
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Risk factors for cholangiocarcinoma? |
Primary sclerosing cholangitis (UC) Recurrent pyogenic cholangitis Lie fluke HIV Hep B & C EtOH |
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Risk factors of hepatic angiosarcoma? |
Thorotrast PVC workers Radiation Arsenic NF Hemochromatosis |
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Ddx for a dense liver? |
Hemochromatosis Wilsons Amiodarone Colloidal gold therapy |
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You see psuedocirrhosis from a treated metastatic disease to the liver, what was the primary? |
Breast
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What is associated with intra and extra hepatic strictures in AIDS cholangiopathy? |
Papillary stenosis |
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What else is Caroli's disease associated with? |
Polycystic kidney disease Medullary sponge kidney Cholangiocarcinoma |
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Which variant predisposes to Mirizzi syndrome? |
Low cystic duct insertion |
