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;
14 Cards in this Set
- Front
- Back
What are ileal causes of abdominal pain?
|
1) Crohns
2) Mesenteric adenitis/ileitis 3) Ileal diverticulitis |
|
Inflammation region of cecum: DDx?
|
Acute appendicitis
Segmental colitis Carcinoma (if painful, perforated) Cecal diverticulitis Cecal ischemia Typhlitis |
|
When you see inflammation adjacent to the cecum what should you think of?
|
Appendicitis first.
Then consider the possiblility of epiploic appendagitis. |
|
What is the appearance of epiploic appendagitis?
|
Round or oval shaped area of increased attenuation fat with surrounding enhancement. here may be associated thickening/enhancement of the adjacent colonic wall.
|
|
What is the DDx for this appearance?
|
Right-sided omental infarction
|
|
Is this more or less common than epiploic appendagitis?
|
Much less common
|
|
Where is right sided omental infarction located?
|
Anterior to ascending colon, between it and the abdominal wall.
|
|
Which is larger? Epiploic appendagitis or right sided omental infarct?
|
Omental infarct larger
|
|
Thickened right colonic wall with numerous enlarged lymph nodes in the mesentery?
|
Mesenteric adenitis
|
|
What is mesenteric adenitis associated with?
|
TI/R colon infection with Yersinia, Campylobacter, salmonella, MAI, and MTb.
|
|
What makes a diagnosis of Crohn's?
|
Thickening of terminal ileum IN ASSOCIATION WITH fibrofatty proliferation of the ileal mesentery
|
|
What should always take you to a diagnosis of Crohn's?
|
The fibrofatty proliferation of the ileal mesentery. The mesentery gets BIG
|
|
Common complications of Crohn's?
|
Fistula and sinus tract formation
Abscess |
|
What is the first thing you must do whenever you encounter a patient with abd pain?
|
R/O appendicitis, before considering other entities, because it is the most common diagnosable etiology.
|