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Spleen Pathology
Spleen Mult choice and images (includes Retro, Peri, adren)
33
Pathology
Undergraduate 2
12/14/2010

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Cards

Term
This image looks like a cyst but has the hint of LUQ pain, fever and leukocytosis
Definition
splenic abscess
Term
This image has a nice little hyperechoic lesion on the spleen
Definition
hemangioma
Term
In the same image with the hyperechoic lesion is another pathology, what is it?
Definition
ascites or hematoma
Term
This image has a wedge shaped mass.
Definition
splenic infarction
Term
This image may be confused with an enlarged lymph node an may undergo torsion
Definition
accessory spleen
Term
This image has a spleen with multiple nodules near the hilum
Definition
lymphadenopathy
Term
This is an image of a large adrenal tumor with the clue; common on right
Definition
pheochromocytoma
Term
This image had the hint: bx if 3-6 cm
Definition
adrenal cortical carcinoma
Term
This image asks where is the fluid located showing kidney and liver
Definition
Morison's pouch
Term
This image has the hint: collection of pus, located near surgery sites
Definition
abdominal & pelvic abscess
Term
Normal spleen size is up to _________
Definition
12 cm
Term
All of the following are causes og marked splenomegaly EXCEPT:
myelofibrosis
granulomatous
leukemia
lymphoma
mononucleosis
Definition
granulomatous
Term
All are cystic masses EXCEPT:

primary congenital
echinococcus
posttraumatic cysts
intrasplenic pancreatic psuedocysts
abscess
Gaucher's
Definition
Gaucher's
Term
What is the rare but most common benign primary neoplasm of the spleen
Definition
hemangiomas
Term
All of the following are solid masses EXCEPT:
granulomas
tuberculosis
hemangiomas
METS
Gaucher's disease
infarction
Definition
tuberculosis
Term
All of the following are associated with polysplenia EXCEPT:
2 left lungs
absent GB
horseshoe kidney
multiple spleens
Definition
horseshoe kidney
Term
What are the pitfalls for seeing a mass on the spleen?
Definition
LLL, panc tail, fundus of stomach, retrorenal spleen
Term
All of the following are U/S findings for masses of the retroperitoneum EXCEPT:
displacement of normal structures
symmetry of normal structures
silhouetting of normal structures
loss of retro peritoneal detail
Definition
symmetry of normal structures

Normal structures are ASYMMETRICAL
Term
What are the pitfalls for seeing a mass on the spleen?
Definition
LLL, panc tail, fundus of stomach, retrorenal spleen
Term
What is indicative of Lymphadenopathy?
Definition
Long/trans ratio < 2
"floating AO" sign
Term
All of the following describe a retroperitoneal hemorrhage EXCEPT:
variable over time
fresh appear sonolucent
organized
have a dirty shadow
Definition
have a dirty shadow is NOT
Term
All of the following are adrenal pathologies EXCEPT:
cysts
posttraumatic hemorrhage
myelolipoma
liposarcoma
METS
Definition
liposarcoma
Term
This is an uncommon adrenal pathology.
Definition
adrenal cysts
Term
The majority of these are nonfunctioning and are detected incidentally
Definition
adrenal adenoma
Term
excessive cortisol production
Definition
Cushing's disease
Term
excessive aldosterone production; 70% due to adrenal adenoma
Definition
Conn's disease
Term
the accumulation of excess___________ fluid in the peritoneal cavity.
Definition
SEROUS!!!!
Term
Majority of ascites is caused by all EXCEPT:
cirrhosis
CHF
pancreatitis
tuberculosis
neoplasm
Definition
pancreatitis
Term
This ascites has septations, echogenic debris, loculations, matted bowel loops, doesnt conform to surrounding strux
Definition
exudative fluid
Term
This is a rare and often fatal gelatinous form of ascites
Definition
pseudomyxoma peritonei
Term
This image looks like mitochondria sort of...
Definition
abscess
Term
All of the following are manifestations of retroperitoneal masses EXCEPT:
Definition
symmetry of normal structures...should be ASYMMETRY
Term
All of the following you should do when encountering a retroperitoneal mass EXCEPT:
assess in 2 dim.
trace and meas.
seek origin
look for "twin peaks" sign
look for cal. or air
Definition
look for "twin peaks" sign
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