common signs/ appearances:)

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18 Terms

1
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what is a wheel within a wheel lesion?

associated with hepatic candidiasis

  • appears with a peripheral hypoechoic zone, an inner echogenic wheel, and a hypoechoic center

<p>associated with hepatic candidiasis </p><ul><li><p>appears with a peripheral hypoechoic zone, an inner echogenic wheel, and a hypoechoic center</p></li></ul>
2
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what is a bull’s eyes lesion?

AKA target sign

  • occurs when center of lesion contains inflammatory cells become calcified

  • causes it to appear echogenic in the center which a hypoechoic rim surrounding the center.

<p>AKA target sign</p><ul><li><p>occurs when center of lesion contains inflammatory cells become calcified </p></li><li><p>causes it to appear echogenic in the center which a hypoechoic rim surrounding the center. </p></li></ul>
3
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what is Courvoisier’s Sign?

failure of a dilated gallbladder to contract following a fatty meal

often indicates extrinsic compression of the common bile duct, often due to a mass in the head of the pancreas.

4
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what is Murphy’s sign?

exquisite tenderness of the right costal margin over the area of the gallbladder.  Indicates gallbladder disease

  • usually gallstones or cholecystitis. 

<p><span>exquisite tenderness of the right costal margin over the area of the gallbladder.&nbsp; Indicates gallbladder disease</span></p><ul><li><p><span>usually gallstones or cholecystitis.&nbsp;</span></p></li></ul>
5
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what is WES sign?

contracted GB with stone

  • Wall- linear anterior wall of GB

  • Echo- echogenic gallstone

  • Shadow- posterior to gall stone

<p>contracted GB with stone</p><ul><li><p>Wall- linear anterior wall of GB</p></li><li><p>Echo- echogenic gallstone</p></li><li><p>Shadow- posterior to gall stone </p></li></ul>
6
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<p>what is shown?</p>

what is shown?

WES sign

  • wall can be difficult to visualize

7
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what is the Double Barrel Shotgun Sign?

dilated common bile duct

Portal Vein and Bile Duct near the same size due to dilation of the Bile Duct

See parallel tubular structures in the portal triad with two tubes about the same size.

<p><span>dilated common bile duct</span></p><p><span>Portal Vein and Bile Duct near the same size due to dilation of the Bile Duct</span></p><p><span>See parallel tubular structures in the portal triad with two tubes about the same size.</span></p>
8
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<p>what is shown?</p>

what is shown?

double barrel shotgun sign

<p>double barrel shotgun sign</p>
9
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what is the too many tubes sign?

  • aka Parallel Channel Sign

  • see dilated branches of intrahepatic ducts

  • see bile ducts running next to even distal portal branches—these ducts not seen unless dilated.

<ul><li><p>aka Parallel Channel Sign</p></li><li><p><span>see dilated branches of intrahepatic ducts</span></p></li><li><p><span>see bile ducts running next to even distal portal branches—these ducts not seen unless dilated.</span></p></li></ul>
10
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what is Grey Turner’s Sign?

discoloration of the skin of flank areas due to bleeding from necrotic vessels

seen in hemorrhagic pancreatitis

<p>discoloration of the skin of flank areas due to bleeding from necrotic vessels</p><p>seen in hemorrhagic pancreatitis </p>
11
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gut signature?

thickest layers are the echogenic submucosa surrounded by hypoechoic muscularis propia

<p>thickest layers are the echogenic submucosa surrounded by hypoechoic muscularis propia </p>
12
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<p>review gut signature</p>

review gut signature

knowt flashcard image
13
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what is keyboard sign?

•valvulae conniventes seen as linear structures closely spaced along wall of duodenum & jejunum

<p><span>•valvulae conniventes seen as linear structures closely spaced along wall of duodenum &amp; jejunum</span></p>
14
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<p>what is shown?</p>

what is shown?

cervix sign in transverse indicating hypertrophic pyloric stenosis (HPS)

15
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<p>what is shown?</p>

what is shown?

target sign in longitudinal plane indicating hypertrophic pyloric stenosis (HPS)

16
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<p>what is shown?</p>

what is shown?

target or donut sign associated with intussusception

17
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<p>what is shown?</p>

what is shown?

pseudokidney sign (intussusception- long axis)

18
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<p>what is shown?</p>

what is shown?

sandwich sign (intussusception- long axis)