• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/33

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

33 Cards in this Set

  • Front
  • Back
Z line
demarcates nml squamocolumnar jxn
is a radio-opaque line separating esoph mucosa from gastric folds
nml impressions on esophagus
aortic arch, LMSB, L atrium, have indentation on anterior esoph
what can cause a gently sloping indentation on posterior esophagus (pseudomass appearance)
a prominent azygoesoph recess
what can cause an impression on anterior esoph in elderly
posteriorly
LA'/LV enlargement
ectatic, desc aorta
describe pathway of uphill varices
portal htn --> blood flow to coronary vein --> esoph/paraesoph folds that anast with azygous and hemiazygous system
azygous vein anastamoses with SVC to bypass portal system
ddx for esoph varices
varicoid CA
lymphoma
B ring
a nml mucosal rign at the GEJ
diameter should be >20mm (if <13, then schiaski's ring)
markers of GEJ on flx
Z line
B rin g
A ring
above B ring
broad smooth area that can change diameter during exam (transient finding)
which vascular anomaly leads to an anterior indentation on the esophagus
pulmonary sling (only anomaly to have anterior indentation on esoph)
what is a pulmonary sling
when the LPA arises from the RPA
LPA passes between trachea and esoph, causing severe tracheal narrowing
what does R arch with aberrant L subclavian do to esophagram
causes a posterior impression on eseoph (and trachea)
what does a dbl aortic arch do to esoph
compresses upper esoph b/l on frontal view
findings of inflammatory esophagogastric polyp
smooth, ovoid club shaped lesions on a thickened mucosal fold at GEJ
will see add'l findigns of reflux esoph
"stepladder" appearance of esophagus
scarring from reflux esophagitis --> fixed transverse folds
how to differentiate stepladder appearance of esoph from feline esoph
stepladder appearance is wider than feline
ddx smooth mid-esoph stricture
radiation
castic ingestion
barrett's
pathophys of glycogenic acanthosis
accumulation of glycogen within squamous epithelial cells of esophageal epithelium
appearance of glycogenic acanthosis
white mucosal plaques in mid-distal esoph
ddx gylocgenic acanthosis
how to differentiate
reflux esoph
candida

glycogenic acanthosis will have no clinical sx (incidental finding)
most common submucosal mass in esophagus
leiomyoma
ddx submucosal esophageal mass
fibrom a
NF
lipoma
hemangioma
what is pulm artery sling assoc with
tracheobronchiomalacia and/or stenosis in up to 50%
what abn cause posterior impression on esoph
doubl arch (sx)
2 arch + aberr l subclavian + L ductus (sx)
L arch + aberr right subclavian (asx)
which vasc abn --> anterior impression on esoph
pulm sling
what are pseudosacculations and when are they seen when present in small bowel
outpouchings in small bowel, seen along the antimesenteric side of small bowel.
assoc w scleroderma
where does small bowel dilatation occur in scleroderma vs celiac sprue
scleroderma - duodenum proximal to its passage between the aorta and SMA

sprue - mid to distal jejunum
appearance esophagus in scleroderma
hypomotility of the lower two-thirds (the smooth muscle component)

patulous GEJ

mild to moderate dilatation of the esohpagus w reflux early, then strictures form
early appearance of small bowel in scleroderma
ddx?
mild dilatation or may be nml
ddx: scleroderma, SBO, sprue
what are the 2 types of gastric volvulus
organoaxial
mesenteroaxial
appearance of organoaxial gastric volvulus
stomach rotates around long axis. antrum is superior to the proximal stomach

GEJ and the pylorus are at the same level and point downwards
appearance of meseteroaxial gastric volvulus
GEJ below diaphragm.

The distal stomach is cephalad, and a beak can be seen at nml gej
rule of 2's for meckels diverticulum
2% of the population
sx before the age of two,
within 2 ft of the ileocecal valve
length of 2 inches.