clinical esophageal disorders Flashcards Preview

GI-Kevin > clinical esophageal disorders > Flashcards

Flashcards in clinical esophageal disorders Deck (11):
1

schatzki ring

lower esophageal mucosal ring, can cause dysphagia.
Higher in esophagus, associated w/ plummer-vinson

2

common pathophys of GERD

exaggeration of transient LES relaxation reflex (LES hypotension), impaired salivation, impaired peristaltic emptying

3

GERD rx

PPI/H2RA blockers, nissen fundoplication, modify eating habits and foods (fats, EtOH, mint, tomato, caffeine)

4

presentation of EoE in adults? in kids?

male, fibrostenotic features (concentric rings, strictures), food impaction and dysphagia, reflux symptoms.
refractory reflux symptoms, vomitting, growth problems, edeam, exudates, furrowing.
Both often have hx of atopy and link to FOOD ALLERGIES

5

therapy for EoE?

topical fluticasone. Six food elimination diet (milk, wheat, soy, egg, nut, mariscos)

6

cause of achalasia? characteristics?

loss of myenteric plexus possibly from Chagas infection.. High LES pressure and uncoordinated SM peristalsis.

7

presentation and diagnosis of achalasia

intolerance of solids and liquids, dysphagia, regurgitation, wt loss, aspiration pneumonia. Manometry and barium swallow (bird-beak)

8

complications of achalasia

sq cell carcinoma

9

three achalasia treatments

botox, pneumatic dilation, heller myotomy

10

diffuse esophageal spasm: two kinds, appearance on barium swallow, treatments

distal and nutcracker. corkscrew esophagus. Nitrates, CCBs, botox, anxiolytics

11

three types of infectious esophagitis and their appearance on scope

candida: white pseudomembrane; HSV-1: punched out ulcers; CMV: linear (serpingous) ulcers