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14 Cards in this Set
- Front
- Back
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What are ileal causes of abdominal pain?
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1) Crohns
2) Mesenteric adenitis/ileitis 3) Ileal diverticulitis |
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Inflammation region of cecum: DDx?
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Acute appendicitis
Segmental colitis Carcinoma (if painful, perforated) Cecal diverticulitis Cecal ischemia Typhlitis |
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When you see inflammation adjacent to the cecum what should you think of?
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Appendicitis first.
Then consider the possiblility of epiploic appendagitis. |
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Zapalenia przyczepków sieciowych
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Okrągłe lub owalne obszar zwiększonego tłuszczu tłumienia z otoczeniem akcesorium. tutaj może być związane pogrubienie / wzmocnienie sąsiedniej ścianie jelita grubego
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Zapalenia przyczepków sieciowych- DDx
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Right-sided omental infarction
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Right-sided omental infarction Is more or less common than epiploic appendagitis?
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Much less common
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Where is right sided omental infarction located?
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Anterior to ascending colon, between it and the abdominal wall.
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Which is larger? Epiploic appendagitis or right sided omental infarct?
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Omental infarct larger
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Thickened right colonic wall with numerous enlarged lymph nodes in the mesentery?
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Mesenteric adenitis
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What is mesenteric adenitis associated with?
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TI/R colon infection with
Yersinia, Campylobacter, salmonella, MAI, MTb. |
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What makes a diagnosis of Crohn's?
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Thickening of terminal ileum IN ASSOCIATION WITH fibrofatty proliferation of the ileal mesentery
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What should always take you to a diagnosis of Crohn's?
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The fibrofatty proliferation of the ileal mesentery. The mesentery gets BIG
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Common complications of Crohn's?
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Fistula and sinus tract formation
Abscess |
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What is the first thing you must do whenever you encounter a patient with abd pain?
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R/O appendicitis, before considering other entities, because it is the most common diagnosable etiology.
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