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GIT. CASE 1 1. What is your diagnosis based on the images A. Diverticulitis B. Colon carcinoma C. Ruptured appendix D. Uncomplicated colonic polyp.

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Presentation on theme: "GIT. CASE 1 1. What is your diagnosis based on the images A. Diverticulitis B. Colon carcinoma C. Ruptured appendix D. Uncomplicated colonic polyp."— Presentation transcript:

1 GIT

2 CASE 1

3

4 1. What is your diagnosis based on the images A. Diverticulitis B. Colon carcinoma C. Ruptured appendix D. Uncomplicated colonic polyp

5 CASE 1 1. What is your diagnosis based on the images A. Diverticulitis B. Colon carcinoma C. Ruptured appendix D. Uncomplicated colonic polyp Margulis p.733

6 CASE 1 2. Colonic diverticula represent acquired herniation of the A. Mucosa and muscularis mucosa B. Mucosa only C. Muscularis mucosa D. Mucosa, muscularis mucosa and serosa

7 CASE 1 2. Colonic diverticula represent acquired herniation of the A. Mucosa and muscularis mucosa B. Mucosa only C. Muscularis mucosa D. Mucosa, muscularis mucosa and serosa Margulis p.733

8 CASE 1 3. Most common site for diverticular disease A. Sigmoid B. Descending C. Rectum D. Cecum

9 CASE 1 3. Most common site for diverticular disease A. Sigmoid B. Descending C. Rectum D. Cecum Margulis p.733

10 CASE 2

11 1. What is your diagnosis based on the images A. Colon carcinoma B. Diverticulitis C. Ruptured appendix D. Uncomplicated colonic polyp

12 CASE 2 1. What is your diagnosis based on the images A. Colon carcinoma B. Diverticulitis C. Ruptured appendix D. Uncomplicated colonic polyp

13 CASE 2 2. Classic appearance of colon carcinoma on Barium studies A. Apple core deformity B. Carman meniscus sign C. Polypoid filling defect D. Crescent sign

14 CASE 2 2. Classic appearance of colon carcinoma on Barium studies A. Apple core deformity B. Carman meniscus sign C. Polypoid filling defect D. Crescent sign Margulis p.772

15 CASE 2 3. Type of colonic polyp colonic polyp with the highest malignant potential A.Villous adenoma B.Tubular adenoma C.Tubulovillous adenoma D.Hyperplastic

16 CASE 2 3. Type of colonic polyp colonic polyp with the highest malignant potential A.Villous adenoma B.Tubular adenoma C.Tubulovillous adenoma D.Hyperplastic Margulis p.763

17 CASE 3

18 1. What is your diagnosis A. Ulcerative colitis B. Crohn’s Disease C. Malabsorption syndrome D. Toxic megacolon

19 CASE 3 1. What is your diagnosis A. Ulcerative colitis B. Crohn’s Disease C. Malabsorption syndrome D. Toxic megacolon

20 CASE 3 2. The reason why perforation, pain, fistula formation and peritoneal signs are absent in this disease A. It is usually limited only to the mucosa and submucosa B. Formation of granulation tissue on the colonic mucosa C. Abscess formation of the crypts of Lieberkuhn D. Chronic inflammatory process of the colonic mucosa

21 CASE 3 2. The reason why perforation, pain, fistula formation and peritoneal signs are absent in this disease A. It is usually limited only to the mucosa and submucosa B. Formation of granulation tissue on the colonic mucosa C. Abscess formation of the crypts of Lieberkuhn D. Chronic inflammatory process of the colonic mucosa Margulis p. 573

22 CASE 3 3. Radiologic signs of chronicity of the disease A.Foreshortened colon, lack of haustration, lead pipe appearance B.Abnormal fold patterns on barium study C.Blunting of the normal acute angles of the rectal valves D. Fine, stippled appearance of the colonic mucosa espe. on barium studies

23 CASE 3 3. Radiologic signs of chronicity of the disease A.Foreshortened colon, lack of haustration, lead pipe appearance B.Abnormal fold patterns on barium study C.Blunting of the normal acute angles of the rectal valves D. Fine, stippled appearance of the colonic mucosa espe. on barium studies Margulis p. 575 (All other choices are early signs)

24 CASE 4: Matching type 1.Muir-Torre Syndrome 2.Cowden’s disease 3.Turcot syndrome 4.Cronkhite-Canada 5.Peutz-Jeghers A. Sebaceous neoplasms of the skin B. Hyperpigmentation with alopecia C. Verrucose skin lesions D. CNS tumors E. Pigmented skin lesions

25 CASE 4: Matching type A. 1.Muir-Torre Syndrome C. 2.Cowden’s disease D. 3.Turcot syndrome B. 4.Cronkhite-Canada E. 5.Peutz-Jeghers A. Sebaceous neoplasms of the skin B. Hyperpigmentation with alopecia C. Verrucose skin lesions D. CNS tumors E. Pigmented skin lesions


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