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19 Cards in this Set

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What is the ddx for enlarged ovaries?
5
Stein-Leventhal syndrome
PID
Metastases
Lymphoma
Endometriosis
What is the ddx for acute pelvic pain in a reproductive age female?
8
Ectopic pregnancy
Hemorrhagic cyst/endometrioma
Ovarian torsion
PID/TOA, appendicitis
Red degeneration of a fibroid (often a pregnant patient)
When are some examples of times when theca lutein cyst tend to occur?
4
Theca lutein cysts can occur in GTD, NL singleton pregnancy or multiple gestation, Pergonal therapy,
What is the ddx for a testicular mass?
benign tumor
malignant tumor
Cyst
Abscess
Hematoma
Adrenal rest
What are 5 abnormalites of the testicle that are not a definite mass?
Tumor
Infarct
Abscess
Tubular ectasia of rete testis
Sarcoidosis
What are 8 causes of diffuse parencyhmal testicular changes?
Atrophy: prior torsion, inflammation
Torsion
Orchitis
Infiltrating tumor: lymphoma/leukemia
Testicular microlithiasis
What are some causes of echogenic hepatic mets
Colon
Ovary
Breast
Stomach
What is the ddx for prior infection of the liver that may cause diffuse hyperechoic foci?
5
TB, histoplasmosis, disseminated PCP, MAI, CMV
What two entities can cause recurrent intrahepatic ductal stones>
recurrent pyogenic cholangitis, Caroli’s disease
What are 3 causes of pneumobilia?
incompetent sphincter of Oddi, surgery, erosion into common bile duct by stone/ulcer
How long does it take for a theca lutein cyst to resolve
weeks after pregnancy
What is a major cause of portal venous gas?
pneumatosis intestinalis
What would you see on doppler if a patient has portal venous gas?
high amplitude spikes
If a patient has hepatitis and you do an us; what do you expect to stand out ?
the portal triads stand out in relief
What is the ddx for hepatic visceral echogenic foci?
prior infection, intrahepatic ductal stones, pneumobilia, portal venous gas, hepatitis
What is the differential for a thyroid adenoma?
Adenoma
Carcinoma: papillary, follicular, medullary, anaplastic, mixed, Hurthle cell (follicular subtype)
Colloid cyst, abscess, hematoma
Parathyroid gland: cyst, adenoma
metastasis, lymphoma
What are features of a benign thryroid nodule?
3
Clearly defined margins
Thin, complete halo
Peripheral eggshell calcification
What are some characteristics of a malignant thyroid nodule?
4
Poorly defined margins
Hypoechoic
Microcalcifications
Cervical adenopathy