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Submitted by David Salvage
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Regarding vertebral anomalies
the posterior arch of the atlas is not fused in 5% of the normal population
intervertebral fusion is commonest in the lumbar region
cervical ribs are found in less than 2% of the normal population
non-fusion of the neural arch of L5 or S1 is seen in 5% of the normal population
a transitional L5 vertebra is found in 5% of the normal population
In Chiari malformations
type I is seen in up to 10% of the normal population
the medulla is kinked in 50% of type I
the cerebellar tonsils are most inferior in type II
myelomeningocoele is seen in 50% of type II
50% of symptomatic type I will have syringomyelia
In syringomyelia
the cavity has an ependymal lining
the spinal cord is not expanded in 20% of cases
cerebellar ectopia is seen in 50% of patients with syringomyelia
there are plain film abnormalities in 10% of cases
there is a change in the size of the cord between the supine and prone position in 15% of cases
Regarding spinal tumours
meningiomas are most common in women
enlarged intervertebral foramina are seen in 10% of neuromas
capillary haemangioblastomas are solitary in 30% of cases
50% of intramedullary tumours are associated with syringomyelic cysts
enlarged vessels are seen on myelography with 50% ependymomas
Gallstones
occur in 10-15% of the adult UK population
are five times commoner in women
cholesterol stones are associated with cirrhosis
are found in two-thirds of patients with pancreatitis
50% of pigmented stones are radio-opaque
Calcification in the liver
is seen in 2% of hepatocellular tumours in adults
is seen in 35% of hepatocellular tumours in children
is stippled in angiomata
is curvilinear in hydatid disease
is nodular and scattered in TB granulomata
Caroli's Syndrome
features congenital fibrosis of the intrahepatic bile ducts causing constriction
is associated with medullary sponge kidney
demonstrates X-linked inheritance
has an association with cholangiocarcinoma
is caused by a choledochal cyst
Gas
seen in the portal vein with necrotising enterocolitis is central
may be seen in the liver following tumour embolisation
in the biliary tree indicates a life-threatening condition
is seen in the portal vein after infarction of bowel
is seen in the portal vein with haemorrhagic pancreatitis
In the pancreas
microcystic cystadenomata are always benign
microcystic cystadenomata usually have fewer than 6 cysts
macrocystic cystadenomata usually have fewer than 6 cysts
amorphous calcification occurs in microcystic cystadenomata
cysts are a feature of Von Hippel Lindau disease
Regarding ectopic hormone production
pancreatic carcinoma may produce ADH
bronchogenic carcinoma may produce ADH
oat-cell carcinoma may produce ACTH
bronchogenic carcinoma may produce thyroxine
thymic tumours may produce ACTH
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