Dyspepsia + Dysuria

Question 1

Causes + types of dysphagia

Answer 1

Oropharyngeal ( Alzheimers, CVA, PD, MS, MG)
Solids only:
Obstructive (sudden, cough late in swallow)
Progressive
Peptic stricture (chronic heart burn)
Carcinoma
Intermittent
Lower esophageal ring
Solids + liquids:
Neuromuscular (cough early in swallow)
Progressive:
Scleroderma
Achalasia
Intermittent:
Diffuse esophageal spasm

Question 2

Ix for dysphagia

Answer 2

Barium swallow (r/o obstruction)
Endoscopy (r/o obstruction, assess mucosa, biopsy)
Manometry
pH monitoring

Question 3

Causes of dysuria

Answer 3

UTI, prostatitis, vaginitis, STIs, chemical irritation, diverticulitis

Question 4

Who is at high risk for complicated UTI?

Answer 4

pregnancy, kids, diabetes, urolithiaisis

Question 5

Causes of recurrent dysuria

Answer 5

post-coital UTI, atrophic vaginitis, retention

Question 6

What does a birds peak on barium swallow indicate?

Answer 6

Achalasia

Question 7

Rx for achalasia

Answer 7

Dilation
GERD prophylaxis
Botox
Myotomy

Question 8

Reasons to treat asymptomatic bacteruria

Answer 8

renal transplant, pregnancy, invasive procedure of urogenital tract