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Exam (elaborations)

ARDMS Abdomen Exam

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Exam of 50 pages for the course ARDMS ABDOMEN at Kaplan University (ARDMS Abdomen Exam)












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Uploaded on
April 6, 2025
Number of pages
50
Written in
2024/2025
Type
Exam (elaborations)
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Cross fused renal ectopia


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, Both kidneys are fused in the same quadrant
2 separate collecting systems
2 normally located adrenal glands




Hepatic Adenoma


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Long history of oral contraceptive use
Associated with Type 1 Glycogen Storage Disease
Asymptomatic, normal labs, RUQ pain
Solid, slightly hypoechoic mass, hypoechoic halo, complex mass is
demonstrated with hemorrhage or necrosis




Location of the adrenal glands


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Retroperitoneal structures located in Gerota's fasica within the perinephric
space
Located anterior, medial, superior to each kidney
Lie lateral to the diaphragmatic crura
Right adrenal gland lies posterior and latera to the IVC
Left adrenal gland lies lateral to the aorta and posterior-medial to the splenic
artery and tail of pancreas




Renal cell carcinoma stages

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Stage 1: Confined to the kidney
Stage 2: Spread to perinephric fat
Stage 3: Extension into renal vein, IVC,or lymph nodes
Stage 4: Extension to near or distant structures




Splenomegaly


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Etiology: Congestive heart failure, cirrhosis, portal hypertension, portal vein
thrombosis, infection, diabetes mellitus, hypertension, hepatitis, trauma,
hemolytic anemia
Sonographic findings: enlargement of the spleen, length exceeding 13 cm




Hepatitis


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Fatigue, loss of appetite, fever and chills, nausea, nonobstructive jaundice,
marked elevation in aspartate aminotransferase, alanine aminotransferase and
bilirubin
Normal-appearing liver parenchyma
Hypoechoic liver parenchyma
Prominence of the portal veins (star effect)
Hepatomegaly
Splenomegaly
Increased echogenicity in chronic cases

, Budd-Chiari Syndrome


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Etiology: Hepatoma, tumor extension (liver or renal), Hematologic disorder,
Congenital webbing of the IVC or right atrium
Symptoms: abdominal pain, hepatomegaly, lower extremity edema, mild
increase in ALP
Sonographic characteristics: Hypoechoic intraluminal echoes within the
hepatic veins (thrombus), dilated hepatic veins, vein wall thickening, absence
or altered venous flow, hepatomegaly, enlarged caudate lobe, ascites,
hyperechoic liver parenchyma




Insulin


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Secreted by beta cells
Decreases blood sugar levels




Superior Mesenteric artery


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