3.2.2 Esophageal Disorders Flashcards Preview

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Flashcards in 3.2.2 Esophageal Disorders Deck (28):
1

What is the basic mechanism of antacids?

Act as a buffer on acid in the stomach 

2

What is achalasia?

Loss of peristalsis in the distal esophagus

Failure of Lower esophageal sphincter relaxation with swallowing

3

All patients with GERD should elevate head of bed (T/F)

False - Only patients with nocturnal symptoms

4

How will a barium swallow appear in a patient with achalasia?

Bird-beak appearance - caused by persistently contracted LES

5

What is pill induced esophageal injury?

6

What are some of the mechanisms of GERD?

Defective esophageal clearance

LES dysfunction

Hiatal hernia

Delayed gastric emptying

Increased intra-abdominal pressure

7

What is the treatment of eosinophilic esophagitis?

Topical steroids

PPI

6 point elimination diet

Esophageal dilation

 

8

What is Schatski's ring?

9

Draw a flow chart that characterize the different types of heartburn

10

What are the extraesophageal manifestations of GERD?

11

GERD patients should lose weight (T/F)

True - increased intraabdominal pressure is found to be in close correlation with GERD

12

Cimetidine, Rantidine, and Famotidine are what types of drugs?

Histamine Receptor Antagonists

13

What is eosinophilic esophagitis?

Allergic inflammation of the esophagus - high eosinophil count

PPI does not help

14

What is Barrett's esophagitis?

This is a metaplastic reaction that results in the change of the esophageal squamous epithelium to columnar

15

What are the symptoms of achalasia?

Progressive dysphasia for solids and liquids

16

What is a peptic stricture?

Scar tissue that has formed from chronic inflammation

17

In normal patients what is the cause of stomach acid in the esophagus for short periods of time?

Transient lower esophageal relaxation

18

What is GERD defined as?

Defined as symptoms or complicaton resulting from the reflux of gastric contents in the esophagus

19

Atypical reflux symptoms respond well to treatment (T/F) 

False - heartburn and regurgitation respond well

20

What is esophageal hypersensitivity?

 Patients that are sensitive to physiologic amounts of acid

Patients tend to respond to high levels of PPIs

21

Omeprazole is what type of drug?

Proton pump inhibitor

22

What is NERD?

Non erosive reflux disease

The response to proton pump inhibitors is less in NERD than GERD

23

Draw a flow chart of treatment of acid reflux

24

All patients with GERD should change diet (T/F)

False - no supporting evidence

25

PPIs can have what side effects?

C. Diff

Pneumonia

Increased risk of CKD

26

GERD puts a patient at increased risk of?

Esophageal carcinoma

27

What is the endoscopic appearance of eosinophilic esophagitis

28

What are the different classifications and management of Barrett's?

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