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GI 2 Final AH > Esophagus And Stomach Disorders - McGowan > Flashcards

Esophagus And Stomach Disorders - McGowan Flashcards

(49 cards)

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1
Q

What type of scleroderma affects children and has morphea patches?

A

Localized

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2
Q

what causes steakhouse syndrome?

A

Schatzki ring

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3
Q

Biggest complication of eosinophilic esophagitis?

A

Esophageal perforation

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4
Q

What can hot beverages, alcohol, smoking or HPV cause?

A

SCC

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5
Q

Bird beak sign seen with what?

A

Achalasia

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6
Q

What causes the antigenic variation of African sleeping sickness?

A

T. Gambiense

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7
Q

What causes esophageal dysphagia to mainly solids but some liquids?

A

Scleroderma

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8
Q

Mallory-weiss tear occurs where?

Common cause of what?

Dx how?

A

Nontransmural tear at GE junction

Upper GI bleed

EGD, hx

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9
Q

Nutcracker esophagus has a ______ that relaxes normally but an _____ at baseline?

A

LES

Elevated pressure

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10
Q

What gets worse within 30min after eating?

Risk factor?

A

Gastric ulcer

H. Pylori and smoking

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11
Q

Best tests for H. Pylori?

A

Stool Ag immunoassay

C13/14 urea breath test

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12
Q

Burn patients are at risk for what?

Tx how?

A

Stress ulcers

PPI

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13
Q

Esophageal stricture has what features?

A

Dysphagia that is progressive from Solids –> liquids

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14
Q

Histologic exam for H. Pylori?

Serology?

A

EGD w/biopsy or rapid CLO

Serum h. Pylori antibodies, IgA

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15
Q

What should you suspect in a pt w/dysphagia and esophageal food impactions?

A

Eosinophilic esophagitis

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16
Q

Clinical course of diffuse esophageal spasm?

Diagnose how?

What radiograph buzz word?

A

Intermittent, NOT progressive

Manometry, EGD

Rosary bead esophagus

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17
Q

How do you diagnose GERD?

A

Ambulatory 24-48 hr esophageal pH recording

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18
Q

What anatomic location does ZE occur at?

What area of natural weakness?

Diagnose how?

A

Bw cricopharyngeus and inferior pharyngeal constrictor muscles

Killian’s triangle

Barium swallow

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19
Q

What type of scleroderma has the worst prognosis?

Best?

A

Diffuse

Limited (HAS anticentromere antibodies)

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20
Q

What is known to cause vaginal dryness, dental caries, and parotid/other salivary gland enlargement?

21
Q

What presents as a gnawing pain 1-3 hours after eating but is relieved by food?

Study These Flashcards
A

Duodenal ulcer (anterior wall of prox D)

22
Q

What causes Tardive dyskinesia?

What clinical sign does it show?

Study These Flashcards
A

Drug related: metoclopramide

Lip smacking

23
Q

Give H. Pylori microbio description

Study These Flashcards
A

curved g(-) rod (microaerophilic baccili w/flagella)

24
Q

What is crunching sound upon auscultation of the heart due to pneumomediastinum?

Occurs with what?

Study These Flashcards
A

Hamman’s sign

Boerhaave’s syndrome

25
ZE syndrome occurs where? Inheritance pattern? What gene?
Prox duodenum (45%) and pancreas (25%), LNs (5-15%) AD, MEN1
26
What has greater amplitude and duration but normal coordinated contraction in the esophagus?
Nutcracker esophagus (Hypertensive peristalsis)
27
What has a strong association with B cell non-Hodgkin lymphoma?
Sjogren's syndrome
28
What disease is ANA present in 90% - speckled or centromere?
Scleroderma
29
What are risk factors for candidiasis?
Uncontrolled diabetic | Steroid use
30
What kind of disorder is achalasia? Problem with what? Loss of what?
Motility disorder that is progressive (solids and liquids) Propulsion (absent peristalsis) Loss of ganglion cells w/in esophageal myenteric plexus
31
Red flags for GERD?
Laundry list ``` Weight loss persistent Vom Constant/severe pain Dysphagia Hematemesis Melena Anemia ```
32
Scleroderma occurs in what age group? More in men or women? Clinical course? Hallmark?
30-50 W > M Progressive (more severe in AA) Thickening and hardening of the skin (microangiopathy and fibrosis of skin and visceral organs)
33
What is the most common esophageal stricture? Secondary to what?
Peptic GERD
34
Where does Zenker's Diverticulum occur most often? Is what kind of diverticulum?
Oropharyngeal (upper esophagus) False diverticula
35
How to diagnose esophageal perforation? Tx?
CT of chest look at mediastinum NGT suction, NPO, surgery, Abx
36
Where do gastric ulcers occur? Associated with what? What type of pain?
Lesser curvature of the antrum of the stomach H. Pylori Burning epigastric
37
What is the definitive method for diagnosing achalasia? What deformity may be present?
Esophageal manometry "Sigmoid deformity"
38
When does Schatzki ring occur? Diagnose how? Tx?
> 40 y/o, aquired Barium swallow/EGD Dilation
39
What is very effective at relieving dysphagia in pts with fibrostenosis from EOE?
Esophageal dilation
40
What results from spastic contraction of the circular muscle in the esophageal wall, and LES function is normal?
Corkscrew esophagus
41
What causes African sleeping sickness? Vector?
T. Brucei Tsetse fly
42
What group is at the greatest risk for Barrett Esophagus?
Obese white males older than 50
43
Complications like esophagitis, stricture, Barrett's and adenocarcinoma can result from what?
GERD
44
What is a bad taste in your mouth called?
Walter Brash
45
What is trichonisis? What causes it?
Fever, myalgia, splinter hemorrhage T. Spiralis
46
What condition is associated with Anti-Scl-70 (Anti-topoisomerase I Ab)?
Scleroderma
47
What has esophageal webs, iron-deficiency anemia, angular chelitis, glossitis, and koilonychia?
Plummer-Vinson syndrome
48
Failure to respond to 4-8 weeks of PPI tx or frequent sx relapse after PPI discontinuation in GERD indicates what?
Endoscopy
49
How do you diagnose eosinophilic esophagitis? Would see what?
EGD Multiple circular esophageal rings creating a corrugated appearance

GI 2 Final AH (7 decks)

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