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GIR Test 1 > B5-062 Dysphagia > Flashcards

B5-062 Dysphagia Flashcards

(58 cards)

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1
Q
  • inability to swallow solids/liquids including secretions
  • suggest foreign body impactior or inflammation in esophagus
A

acute dysphagia

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2
Q

most common offending agent of acute dsyphagia

A

meat

greater incidence in males over 70

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3
Q

painful swallowing

A

odynophagia

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4
Q

causes of odynophagia

A
  • pharyngitis
  • infections
  • pill/corrosive agent
  • ulcer/abrasion
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5
Q
  • difficulty initiating swallowing
  • often neuromuscular dysfunction

oropharyngeal or esophageal

A

oropharyngeal

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6
Q
  • difficulty swallowing several seconds after swallow intiation
  • sensation that food/liquid is stuck in passage

oropharyngeal or esophageal

A

esophageal

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7
Q

may arise from body of esophagus, LES, or cardia

A

esophageal dysphagia

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8
Q

most common causes of esophageal dysphagia

2 (general)

A

GERD/esophagitis
functional esophageal disorders

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9
Q

difficulty intiating a swallow associated with coughing, choking, or nasal regurgitation

A

oropharyngeal dysphagia

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10
Q

what specialties would be involved in management of oropharyngeal dysphagia?

A

ENT, speech therapy

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11
Q

what specialty would be involved in management of esophageal dysphagia?

A

GI

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12
Q
  • used to view, biopsy, and manipulate/grab
  • can be utilized to biopsy, remove foreign body, stop bleeding, inject air or fluid, dilate, surgery, and laser
A

EGD

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13
Q

when would a pre-endoscopy barium esophagram be used as the intial test?

A
  • proximal esophageal lesion suspected
  • known stricture
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14
Q

when is a post endoscopy barium esophagram used?

A

after negative EGD when obstruction still suspected

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15
Q

what test is done if motility disorder is suspected/EGD is negative for structural issues

A

esophageal manometry

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16
Q
  • measures the rhythmic contractions when swallowing
  • measures coordination and force extered on muscles
A

esophageal manometry

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17
Q
  • loss of peristalsis in distal esophagus
  • incomplete relaxation of LES with swallowing
A

achalasia

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18
Q

see a dilated esophagus with “bird beak” narrowing on barium esophagram

A

achalasia

use esophageal manometry to confirm dx

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19
Q
  • progressively worsening dysphagia of solids/liquids
  • regurgitation and aspiration
A

achalasia

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20
Q

group of conditions linked by presence of sclerotic lesions

A

Calcinosis
Raynauds
Esophageal dysfunction
Sclerodactyly
Telangiectasias

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21
Q
  • manometry: absent peristalsis, low/absent LES pressure
  • EGD may show erosive esophagitis or peptic stricture
A

systemic sclerosis

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22
Q

may be related to recurrent esophagitis or Barrett’s esophagitis

A

esophageal stricture

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23
Q

iron deficiency anemia, dysphagia, esophageal web

A

Plummer-Vinson syndrome

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24
Q

narrow mucosal ring often associated with hiatal hernia

Study These Flashcards
A

Schatzki ring

most common esophageal ring

25
patients younger than 50 with no other worrisome symptoms should be treated with
four week trial of acid suppression
26
recommended for initial assessment of patients with esophageal dysphagia
EGD
27
accurate diagnosis of eosinophilic esophagitis should include a
biopsy
28
characterized by decreased lacrimal and salivary gland function
Sjogrens Syndrome
29
defective peristalsis xerostomia dry eyes
Sjogrens
30
pharyngoesophageal false diverticulum
Zenker's
31
oropharyngeal dysphagia halitosis obstruction regurgitation aspiration
zenker's diverticulum
32
sensation of solid/liquid sticking or passing abnormally through esophagus without evidence of other diseases
functional dysphagia | diagnosed using Rome criteria
33
stacked circular rings proximal strictures whitish papules | on endoscopy
eosinophilic esophagitis
34
rapidly progressive dyphagia chest pain odynophagia anemia anorexia significant weight loss
esophageal carcinoma
35
esopheageal carcinoma in the upper and middle of esophagus is | cell type
squamous cell
36
esopheageal carcinoma in the lower 1/3 of esophagus is | cell type
adenocarcinoma
37
difficulty generating speech
dysphasia
38
sensation of lump, retained food bolus, or tighness in throat not due to underlying disorder
globus sensation
39
painful swallowing
odynophagia
40
"bird-beak" sign on barium esophagram
achalasia
41
"corkscrew" sign on barium esophagram
distal esophageal spasm
42
stacked circular rings
eosinophilic esophagitis
43
plummer vinson triad
iron deficiency anemia dysphagia esophageal webs
44
treatment of Plummer Vinson
increased iron intake dilation of esophageal rings
45
metaplastic columnar epithelium replaces the squamous epithelium of the distal esophagus as a result of chronic irritation
Barrett's esophagus
46
chronic multisystem disease of progressive fibrosis of the skin and internal organs and widespread vascular dysfunction
systemic sclerosis
47
dysphagia heartburn episodic pseudo-obstruction
systemic sclerosis
48
most prevalent esophageal cancer worldwide
squamous cell carcinoma
49
cancer in middle and upper portion of esophagus is
squamous cell carcinoma
50
GERD and Barretts often precipitate what kind of cancer?
adenocarcinoma
51
false posterior diverticula of the esophagus at junction of pharynx and esophagus
zenker's diverticulum
52
progressive degeneration of ganglion cells in myenteric plexus of the esophageal wall which leads to failure of relaxation of the LES and loss of peristalsis in distal esophagus
achalasia
53
begins in the mucus secreting glands of the distal esophagus often after chronic irritation from GERD/Barrett's
esophageal adenocarcinoma
54
results from direct esophageal mucosal injury from abrasion or caustic effects of medication
pill esophagitis
55
stacked concentric circular rings
eosinophilic esophagitis
56
opportunistic infection that can cause odynophagia and dysphagia, as well as oral and esophageal thrush
oral candidiasis
57
cause intermittent dysphagia
esophageal webs
58
thin mucosal folds that protrude into esophageal lumen
esophageal webs

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