Clinical Reasoning — Flashcards

Flashcard 481: How is dx of achalasia made? _____

Answer: Barium swallow (Bird beak) and manometry

Flashcard 482: Dysphagia to solids/liquids= _____ → manometry

Answer: barium swallow

Flashcard 483: Fever, fatigue and RUQ pain with ultrasound of the liver showing a hepatic lesion is suggestive of _____

Answer: pyogenic liver abscess

Extra: Pyogenic liver abscesses typically occur secondary to biliary tract disease, hematogenous spread via the portal vein, or direct extension from nearby infection.

Flashcard 484: What imaging modality is used to aid in the diagnosis of toxic megacolon? _____

Answer: Abdominal X-ray

Flashcard 485: What is the first step in working up a pt. w/ pulmonary disease (e.g. smoker, COPD, fibrotic lung, asthmatic)? _____

Answer: PFTs (FEV1/FVC)

Flashcard 486: Cholecystitis is diagnosed with _____ or cholescintigraphy (HIDA scan)

Answer: ultrasound

Flashcard 487: Pancreatic cancer = _____ or _____

Answer: ultrasound

Flashcard 488: What is the diagnostic method for obstructive jaundice secondary to inflammation from choledocholithiasis/cholangitis? _____

Answer: RUQ U/S with MRCP/ERCP

Flashcard 489: Diagnosis of ovarian torsion is best done with _____

Answer: diagnostic laparoscopy

Flashcard 490: What is the best diagnostic test for Boerhaave syndrome in an unstable patient? _____

Answer: CT chest