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19 Cards in this Set

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Crohn's Disease (part of Inflammatory Bowel Disease)


  • chronic inflammatory disorder usually involving terminal ileum (but can be any portion of GI tracts
  • Inflammated Grannulous tissue seperated by healthy areas "skips"
  • Irregular, thick mucosal folds (Early)
  • "Cobblestone" appreance = caused by ulceration seen within thick mucosal folds
  • Edema

Crohn's Disease (part of Inflammatory Bowel Disease)


  • chronic inflammatory disorder usually involving terminal ileum (but can be any portion of GI tracts
  • "Skips" - Inflammated Grannulous tissue seperated by healthy areas
  • "String Sign" - narrowed segment of bowel (caused by edema and fibrosis) with no mucosal pattern
  • Edema

Crohn's Disease (part of Inflammatory Bowel Disease)


  • chronic inflammatory disorder usually involving terminal ileum (but can be any portion of GI tracts
  • Inflammated Grannulous tissue seperated by healthy areas "skips"
  • "Fistula Formation" - demonstrated as barium filled connection between two structures or into a blind sac
  • Edema

Normal

  • Crohn's Disease (part of Inflammatory Bowel Disease)


    • chronic inflammatory disorder usually involving terminal ileum (but can be any portion of GI tracts
    • Inflammated Grannulous tissue seperated by healthy areas "skips"
    • "Fistula Formation" - demonstrated as barium filled connection between two structures or into a blind sac
    • Edema
    • CT w/Contrast

Crohn's Disease (part of Inflammatory Bowel Disease)


  • chronic inflammatory disorder usually involving terminal ileum (but can be any portion of GI tracts
  • Inflammated Grannulous tissue seperated by healthy areas "skips"
  • "Fistula Formation" - demonstrated as barium filled connection between two structures or into a blind sac
  • Edema
  • CT/Non-con

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


  • Dilated/Distended loops of small bowel w/gas
  • Air-Fluid Levels
  • Step Ladder Appearance
  • No gas seen within colon
  • Valvulae Outlines
  • Collapsed distal bowel?
  • Can cause necrosis/perforation/perotinitis/sepsis
  • Upright

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


  • Dilated/Distended loops of small bowel w/gas
  • Air-Fluid Levels
  • Step-ladder appearance

Collapsed distal bowel?


  • Can cause necrosis/perforation/perotinitis/sepsis
  • Valvulae Outlines
  • No gas seen within colon

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


Dilated loops of small bowel w/gas


Air-Fluid Levels


Wall thickening w/ mesentaric engorgement


  • Can cause necrosis/perforation/perotinitis/sepsis

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


Dilated loops of small bowel


Air-Fluid Levels


Multiple fluid filled loops of small bowel


  • Can cause necrosis/perforation/perotinitis/sepsis

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


  • Dilated loops of small bowel
  • Multiple Fluid filled loops of small bowel
  • Collapsed right colon
  • Can cause necrosis/perforation/perotinitis/sepsis

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


  • Dilated loops of small bowel
  • Multiple Fluid filled loops of small bowel
  • Can cause necrosis/perforation/perotinitis/sepsis

Small Bowel Obstruction


Hindrance of passage of intestinal contents through bowel (mechanical blockage)


  • Dilated loops of small bowel
  • Multiple Fluid filled loops of small bowel
  • Can cause necrosis/perforation/perotinitis/sepsis

Small Bowel Obstruction


Increased Valvulae markings


Occupies central portion of abdomen


Dilated loops of small bowel


Destructive (dilated air filled loops)

Adynamic Ilueus


Large and small bowel both fillwed with gas and equally uniformly dilated


No point of obstruction


Destructive (dilated air filled loops)

Intussusception


  • Telescoping part of bowel into another part
  • Peristalsis forces proximal segment into distal segment
  • "Coiled Spring" appearance
  • BE = Diagnostic and therapeutic

Intussusception


  • Telescoping part of bowel into another part
  • Peristalsis forces proximal segment into distal segment
  • Ultrasound = doughnut shape on transverse scan (inner/outer ring)

Intussusception• Telescoping part of bowel into another part• Peristalsis forces proximal segment into distal segment• CT w/con • CT = concentric circles forming soft tissue mass

Intussusception


  • Telescoping part of bowel into another part
  • Peristalsis forces proximal segment into distal segment
  • CT w/con
  • CT = concentric circles forming soft tissue mass