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31 Cards in this Set
- Front
- Back
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What could be the cause of markedly thickened esophageal folds?
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Esophagitis
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A scalloped, snake like radiograph could be due to what?
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Varices due to portal hypertension
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What are 2 main types of esophageal lesions?
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1. Protruded - stick into lumen
2. Depressed - stick out of lumen |
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What are the 2 most common causes of a depressed ulcer?
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1. Diverticula
2. Ulcers |
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What is the most common opportunistic infection of the esophagus?
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Candida
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What can cause linear, discrete plaque like lesions in the esophagus?
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esophagitis
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What can cause a "shaggy esophagus"?
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Patient with AIDS that get candida fullment infection
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What is the second most common opportunistic infection of the esophagus?
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Herpes
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What are the findings of herpes in the esophagus?
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1. Multiple small, punctate ulcers in mid esophagus
2. Surrounded by lucent halos |
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What infection of the esophagus causes Giant, flat ulcers and is seen primarily in AIDS pts?
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CMV esophagitis
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What could be the cause of a CMV negative patient that has the same X-ray as a CMV positive patient?
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HIV esophagitis
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What else, besides infection can cause esophagitis?
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Drug induced (NSAIDs, KCl, etc)
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What is seen in eosinophilic esophagitis?
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Discrete stricutures OR loss of caliber (skinny) esophagus
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Narrowing and IRREGULAR lumen contour could be caused by what?
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Advanced infiltrating squamous cell carcinoma
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Adenocarcinoma always arises in what?
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Barrets
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Where are gastric ulcers usually located?
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Usually in antrum or body
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What do benign gastric ulcers look like?
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Round, ovoid ulcers
Project outside of gastric wall |
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What do malignant gastric ulcers look like?
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Irregular crater in tumor mass
Nodularity of clubbing of radiating folds Projects inside Lumen |
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Is a radiologic Dx of gastric ulcers effective?
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YES
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An NSAID induced ulcer will usually be located where?
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Greater curvature
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Are duodenal ulcers usually malignant?
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NO, always benign
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What does H. Pylori look like in a radiograph?
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Milky/moderate thickened folds in stomach
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what always causes DU?
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H. Pylori
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Which type of infectious esophagitis is most likely to be associated with devo of small ulcers?
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Herpes
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Which radiographic findings is least likely to be associated with eosinophilic esophagitis?
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Shaggy esophagus - that's HIV
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What's the best way to follow up a benign appearing GU on a D/C Upper GI?
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Repeat study in 8 weeks
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Which abnormality is NOT caused by H. Pylori?
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EVERYTHING is
(Gastritis, GU, DU, Gastric Cancer) Gotcha SUCKA! #SchoolsIn |
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What is the basic radiographic feature of Candida
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Plaque or "shaggy" esophagus
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What is the basic radiographic feature of Herpes?
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Multiple small ulcers without plaques
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What is the basic radiographic feature of CMV?
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One or more giant ulcers
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What is the basic radiographic feature of HIV?
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One or more giant ulcers
With CMV NEGATIVE test |
