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21 Cards in this Set
- Front
- Back
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plain abd xrays are listed as having some value in which colonic dz's
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diverticulitis
acute mesenteric ischemia pseudomembranous colitis volvulus |
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abd xray value in diverticulitis
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excluding other causes of LLQ pain
r/o ileus obstruction perforation |
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obstruction is seen by abd x-ray as
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air-fluid levels
distension |
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perforation on abd xray
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free air
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purpose of abd xray in acute mesenteric ischemia
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to exclude other causes of abd pain
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valueof abd xray in pseudomembranous colitis
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to r/o toxic megacolon --> perforation
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value of abd xray in sigmoid volvulus
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-- omega loop / bent inner tube sign
-- dilation |
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value of abd xray in cecal volvulus
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-- coffee bean sign large air-fluid level in RLQ
-- distension of cecum and small bowel |
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barium enema's utility is mentioned for which colonic dz's
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diverticulosis
acute mesenteric ischemia volvulus |
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barium enema value in diverticulosis
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test of choice
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barium enema value in acute mesenteric ischemia
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thumbprinting
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barium enema value in volvulus
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narrowing of colon -- "bird's beak"
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which colonic dz --> peritonitis
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CRC
diverticulitis acute mesenteric ischemia pseudomembranous colitis |
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colonic dz that present with pain
and one line about it |
CRC
-- most common presenting symptom diverticulosis -- LLQ discomfort diverticulitis-- LLQ pain acute mesenteric ischemia -- severe abd pain disproportionate to physical findings chronic mesenteric ischemia -- dull, postprandial ogilvie's syndrome -- abd pain pseudomembranous colitis -- crampy volvulus -- acute onset, colicky |
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essential one-liner in presumably non-painful colonic dz presentations
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polyps
-- usually asymptomatic. most common symptom: rectal bleeding angiodysplasia -- lower GI bleeding in pt > 60 -- 15% massive hemorrhage |
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ogilvie's syndrome
in a word sxs |
in a word: pseudo-obstruction
abd pain n/v obstipation fever |
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CRC re: pain
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most common presenting symptom
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diverticulosis vs. diverticulitis re: pain
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LLQ discomfort
LLQ pain |
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acute vs. chronic mesenteric ischemia re: pain
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severe abd pain disproportionate to physical findings
dull, postprandial |
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pseudomembranous colitis re: pain
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crampy
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volvulus re: pain
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acute onset
colicky |
