Esophageal pathologies Flashcards Preview

STEP1: GI > Esophageal pathologies > Flashcards

Flashcards in Esophageal pathologies Deck (10)
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1
Q

GERD

A

Heartburn, regurg upon lying down.

May present with nocturnal cough, dyspnea, adult onset asthma.

Decrease in LES tone

2
Q

Esophageal varices

A

Painless bleeding

3
Q

Esophagitis

A

Associated with reflux, chemical ingestion, infection:

candida: white pseudomembrane,
HSV-1: punched out ulcers
CMV: linear ulcers

4
Q

Mallory Weiss and BoerHaave

A

Mallory weiss: mucosal laceration at GE junction due to vomiting, leads to hematemesis

Boerhaave: transmural esophageal rupture due to violent retching.

5
Q

Esophageal strictures

A

Lye digestion

Acid reflux

6
Q

Plummer vinson syndrome

A

Dysphagia (esophageal web)
Glossitis
Iron deficiency anemia

7
Q

Barrett’s esophagus

A

Glandular metaplasia; replacing nonkeratinized squamous with intestinal.

8
Q

Esophageal cancer

A

Squamous or adeno

Typically progressive dysphagia (first solid, then liquid) and weight loss; poor prognosis.

9
Q

Esophageal cancer:

Risk factors

A
Achalasia
Alcohol: squamous
Barrett: adeno
Cigarette: both
Diverticula: squamous
Esophageal web: squamous
Familial
Fat (obesity): adeno
GERD: adeno
Hot liquid: squamous.
10
Q

Esophageal cancer:

prevalence

A

Worldwide, SCC
US, adeno

Squamous upper 2/3
Adeno lower 1/3