Disease of Esophagus and Stomach CIS - Darrow Flashcards Preview

Year2 GI Exam II > Disease of Esophagus and Stomach CIS - Darrow > Flashcards

Flashcards in Disease of Esophagus and Stomach CIS - Darrow Deck (67)
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1

problem with food getting from mouth to esophagus

transfer (oropharyngeal) dysphagia

strokes, parkinsons, corticobulbar problems

2

problem getting food through esophagus to stomach

transmit dysphagia

3

parkinsons disease

transfer dysphagia

4

SAD CREaP**

DDx for dysphagia

solid and liquid - motility:
Scleroderma
Achalasia
Diffuse esophageal spasm - corkscrew

solid only - mechanical:
Carcinoma
Ring - schatskis - webs
Eosinophilic esophagitis
and
Peptic stricture

5

schatzkis ring

distal esophagus

6

webs

mid or upper esophagus

7

Cae 35yo F chest pressure and dysphagia, asthma, solids only problems

solids only - CREaP
-carcinoma, rings, eosinophilic esophagitis, peptic strictures

biopsy - has eosinophils

eosinophilic esophagitis

8

eosinophilic esophagitis

GERD and food impaction

Hx - allergies,atopy
mucosa - tapered strictues
biopsy - eosinopholia >20% per HPF
mucosa looks normal**
treatment - swallowed fluticasone

9

tx of eosinophilic esophagitis

swallowed fluticasone

10

Case 58yo M smokers, dermatitis, dysphagia solids and liquids, chest pain, cough, weight loss

barium swallow - bird beak

keratoderma and hyperkeratosis

achalasia - liquids and solids

11

corkscrew esophagus

diffuse esophageal spasm

12

achalasia

failure of LES to relax and aperistalsis of muscle above

13

pseudoachalasia

chagas disease - rediviid bug - trypanosoma cruzi

cancer

14

chagas disease

attack cardiac and smooth muscle

trypanosoma cruzi

15

SCC of esophagus

middle esophagus


alcohol, smoking, HPV, nitrates, lye, achalasia, hot liquids

16

adenocarcinoma of esophagus

lower esophagus

barrets, GERD, obesity

17

low iron and TIBC

anemia of chronic disease

18

low platelets

splenomegaly
antibodies - ITP
BM crowding - myelofibrosis

19

low sodium

SIADH

20

hypotonic, hyponatremic, euvolemic

SIADH

carcinoma of esophagus

21

small cell lung cancer

SIADH

22

CAM5.2, thyroid transcription factor 1, chromogranin A, CD56, anti-Hu/ANNA-1

small cell carcinoma of lung

can cause pseudoachalasia**

23

ANNA-1

destroy myenteric plexus - simulating achalasia

released from small cell carcinoma of lung

24

Case HIV patient stopped meds, confusion, arthralgia, fever, cough, dyspnea, dyspepsia, odynophagia, anorexia, abdominal pain, diarrhea

asthenic and anxious

CD4 48

dermatitis of chest, thumb nail, and mouth

??

25

arthralgia, anorexia, abdomen pain, asthenic, anxious, anatremia, aglycemia, aching muscles, axillary pigmentation

As of addisons disease

tx - steriods**

26

folliculitis

dermatitis involving the hair follicles

staph, gram negative, pityrosporum, eosinophilic, traumatic, pseudomonal

27

fungal infection proximal infection

immunosuppression

trichophyton rubrum

28

dysphagia may relate to esophagitis

GERD
pills - tetracycline
infection - herpes, candida, CMV

29

CMV infection

CD4 <50
look for CNS, lung, colon, retina involvement

large ulcers

30

owl eyes

CMV

intranuclear inclusions