ARDMS Abdomen
_____ are the accumulation of pancreatic fluid and necrotic debris confined by the retroperitoneum.
Contain high amounts of amylase, lipase and trypsin. *** Pseudocysts
Pseudocysts commonly occur at the pancreatic ___ *** tail
In peds the most common reason for pseudocyst is _____ _____ *** abdominal trauma
congenital anomaly where the ventra pancreas encircles the second portion of the duodenum.
May present as the 'Double Bubble" with dilated stomach and duodenal bulb *** Annular pancreas
failure of the dorsal and ventral pancreatic ductal systems to fuse during embryonic development
resulting in the smaller santorini duct draining the pancreas. Inadequate drainage can lead to
pancreatitis *** pancreas divisum
90% of patients with _____ carcinoma present with lymphatic and metastatic spread of the tumor. ***
pancreatic
80% of pancreatic tumors arise from the ___ *** head.
____ procedure- removal of pancreatic cancer from the head, removes the pancreatic head, portion of
the bile duct, gallbladder and duodenum are removed. Remaining pancreas is sutured back to the
intestines *** whipple
Cluster of grapes like cysts, associted with Hippel Lindau disease. Formerly calledmicrocystic
cystadenomas. benign *** Pancreatic serous cystadenoma
malignant, large muticystic mass with septations and debris. Formerly called a macrocystic cystadenoma
*** Mucinous Cystic neoplasms
,Most common islet cell tumor..
Second most common islet cell tumor... *** insulinoma
Gastrinoma
Commonly located in the body and tail
Pancreatic tail is ___ to the upper pole of the left kidney. *** anterior
The diaphragm, psoas muscle and the quadratus lumborum muscles are on the ____ aspect of the
kidneys. *** Posterior
at the hilum of the kidney
_____ exits anteriorly
____ exits between vein and ureter
___ exits posteriorly *** vein
artery
ureter
___ ____= outer renal parenchyma from base of medullary pyramids to renal capsule. *** Renal cortex
inner portion of kidney from base of pyramids to center of kidney. *** renal medulla
,inner hyperechoic portion of the kidney containg fat, calyces, renal pelvis connective tissue, vessels and
lymphatics *** sinus
anechoic, equally spced triangles of collecting tubules between cortex and renal sinus. commonly seen
in neonatal kidneys. *** medullary pyramids
funnel shaped transition from the major calyces to the ureter *** renal pelvis
medial opening for entry of artery , vein and ureter *** renal hilum
3 extension of the renal pelvis *** major calyces
extensions of the major calyces that collects urine from the medullary pyramids, *** minor calyces
apex of medullary pyramids *** renal papilla
Fibrous sheath that encloses the kidney and adrenal glands, also referred to perirenal space. *** gerotas
fascia
functional unit of the kidney *** nephron
consists of glomerulus and glomerular capsule, *** renal corpuscle (Malpighian body)
at the hilum the renal artery branches into ___ segmental arteries *** 5
, Btwn the pyramids the segmental arteries divide into the _____ arteries, which travel perpendicular to
the renal capsule. *** interlobar
From the interlobar arteries the ___- arteries branch off parallel to the renal capsule. Difficult to doppler
since they travel perpindicular to the doppler sound beam. *** arcuate
____ arteries are the smallest renal arteries that branch off the arcuate arteries running perpindicular to
the renal capsule. *** interlobular
most common congenital anomalies occur in the ____ system more than any other. *** genitourinary
increased incidence of UPJ obstruction, ureteral reflux, and multicystic renal dysplasia occuring with
_____ kidneys. *** ectopic
ureters in horseshoe kidneys are usually located anterior to the _____ *** isthmus
developing kidneys fuse in the pelvis, one kidney moves to the normal position, carrying the other one
with across the midline. *** crossed fused renal ectopia
two kidneys are visualized on one side of the abdomen with absence of the contralateral kidney. ***
Crossed fused renal ectopia
Kidneys may fuse to form a round mass in the pelvis known as a discoid or pancake kidney. *** Fused
pelvic kidney
normal variation of prominent renal cortical parenchyma located btwn 2 medullary pyramids. can give a
mass look. *** column of bertin, (Septal cortex)
_____ are the accumulation of pancreatic fluid and necrotic debris confined by the retroperitoneum.
Contain high amounts of amylase, lipase and trypsin. *** Pseudocysts
Pseudocysts commonly occur at the pancreatic ___ *** tail
In peds the most common reason for pseudocyst is _____ _____ *** abdominal trauma
congenital anomaly where the ventra pancreas encircles the second portion of the duodenum.
May present as the 'Double Bubble" with dilated stomach and duodenal bulb *** Annular pancreas
failure of the dorsal and ventral pancreatic ductal systems to fuse during embryonic development
resulting in the smaller santorini duct draining the pancreas. Inadequate drainage can lead to
pancreatitis *** pancreas divisum
90% of patients with _____ carcinoma present with lymphatic and metastatic spread of the tumor. ***
pancreatic
80% of pancreatic tumors arise from the ___ *** head.
____ procedure- removal of pancreatic cancer from the head, removes the pancreatic head, portion of
the bile duct, gallbladder and duodenum are removed. Remaining pancreas is sutured back to the
intestines *** whipple
Cluster of grapes like cysts, associted with Hippel Lindau disease. Formerly calledmicrocystic
cystadenomas. benign *** Pancreatic serous cystadenoma
malignant, large muticystic mass with septations and debris. Formerly called a macrocystic cystadenoma
*** Mucinous Cystic neoplasms
,Most common islet cell tumor..
Second most common islet cell tumor... *** insulinoma
Gastrinoma
Commonly located in the body and tail
Pancreatic tail is ___ to the upper pole of the left kidney. *** anterior
The diaphragm, psoas muscle and the quadratus lumborum muscles are on the ____ aspect of the
kidneys. *** Posterior
at the hilum of the kidney
_____ exits anteriorly
____ exits between vein and ureter
___ exits posteriorly *** vein
artery
ureter
___ ____= outer renal parenchyma from base of medullary pyramids to renal capsule. *** Renal cortex
inner portion of kidney from base of pyramids to center of kidney. *** renal medulla
,inner hyperechoic portion of the kidney containg fat, calyces, renal pelvis connective tissue, vessels and
lymphatics *** sinus
anechoic, equally spced triangles of collecting tubules between cortex and renal sinus. commonly seen
in neonatal kidneys. *** medullary pyramids
funnel shaped transition from the major calyces to the ureter *** renal pelvis
medial opening for entry of artery , vein and ureter *** renal hilum
3 extension of the renal pelvis *** major calyces
extensions of the major calyces that collects urine from the medullary pyramids, *** minor calyces
apex of medullary pyramids *** renal papilla
Fibrous sheath that encloses the kidney and adrenal glands, also referred to perirenal space. *** gerotas
fascia
functional unit of the kidney *** nephron
consists of glomerulus and glomerular capsule, *** renal corpuscle (Malpighian body)
at the hilum the renal artery branches into ___ segmental arteries *** 5
, Btwn the pyramids the segmental arteries divide into the _____ arteries, which travel perpendicular to
the renal capsule. *** interlobar
From the interlobar arteries the ___- arteries branch off parallel to the renal capsule. Difficult to doppler
since they travel perpindicular to the doppler sound beam. *** arcuate
____ arteries are the smallest renal arteries that branch off the arcuate arteries running perpindicular to
the renal capsule. *** interlobular
most common congenital anomalies occur in the ____ system more than any other. *** genitourinary
increased incidence of UPJ obstruction, ureteral reflux, and multicystic renal dysplasia occuring with
_____ kidneys. *** ectopic
ureters in horseshoe kidneys are usually located anterior to the _____ *** isthmus
developing kidneys fuse in the pelvis, one kidney moves to the normal position, carrying the other one
with across the midline. *** crossed fused renal ectopia
two kidneys are visualized on one side of the abdomen with absence of the contralateral kidney. ***
Crossed fused renal ectopia
Kidneys may fuse to form a round mass in the pelvis known as a discoid or pancake kidney. *** Fused
pelvic kidney
normal variation of prominent renal cortical parenchyma located btwn 2 medullary pyramids. can give a
mass look. *** column of bertin, (Septal cortex)
