EXAM #2: ESOPHAGEAL DISORDERS Flashcards Preview

Gastrointestinal System > EXAM #2: ESOPHAGEAL DISORDERS > Flashcards

Flashcards in EXAM #2: ESOPHAGEAL DISORDERS Deck (39):
1

What is an alternate name for heartburn?

Pyrosis

2

What is the definition of odynophagia?

Painful swallowing

(vs. dysphagia that is non-painful difficulty with swallowing)

3

What is Globus hystericus?

Dysphagia that is relieved with swallowing
- Seen in OCD
- Seen in anxiety

4

What is waterbrash?

Burped up acid into the esophagus causes an abnormal salivary reaction

5

What is EGD?

Esophagogastroduodenoscopy

6

What is the best test for visualizing the esophagus?

EGD

7

What is endoscopic US?

Using a swallowed probe to get a US view of the esophagus
- Used to see structures just OUTSIDE of the esophagus

8

What is esophageal manometry used for?

Observing contractility

*Note that this often included with pH testing*

9

What is reflux testing?

A pH probe that measures the pH in the distal esophagus

10

How do patients present with a hiatal hernia?

Complain of a fullness in the epigastrium + heartburn

11

What is the most common symptom of a esophageal diverticula?

Putrid breath

12

What is the hallmark sign of Achalasia on radiography?

Bird Beak sign

13

What are the common presenting symptoms with Achalasia?

- Solid food dysphagia
- Weight loss
- Chest pain
- Foul breath

14

What is the treatment for Achalasia?

Treatment is limited--this is incurable

15

What can help an esophageal spasm?

NO and smooth muscle dilators

16

What is eosinophilic esophagitis?

Recurrent dysphagia with food impaction
- Caused by eosinophilic dominant inflammation
- Allergic-type reaction

17

What patient population is eosiniphilic esophagitis common in?

Young white males

18

How does EGD appear in eosinophilic esophagitis?

Ringed esophagus

19

What is the treatment for Eosinophilic Esophagitis?

1) PPI
2) Allergy avoidance
3) Inhaled glucocorticoids
4) Dilation

20

What is the common presenting symptom of infectious esophagitis?

Odynophagia

21

What are the common etiologies of Infectious Esophagitis?

1) C. albicans
2) CMV
3) HSV

22

What clinical finding is common in Candida Esophagitis?

Oral Thrush

23

What stain is used for identifying Candida Esophagitis?

Silver stain--pseudohyphae

24

When do you perform an endoscopy BEFORE treatment in possible Candida Esophagitis?

No oral thrush but you suspect Candida Esophagitis

25

What are the signs and symptoms of CMV esophagitis?

LAD, cough, and mono-like presentation

26

How will the ulcers appear in CMV esophagitis?

Large serpigenous ulcers in mid-distal esophagus

27

How will CMV esophagitis appear under the microscope?

Owl eye

28

How is CMV esophagitis treated?

Gancyclovir

29

What is the mnemonic to remember the features of HSV esophagitis?

hsV

- V= volcano ulcers
- V= very painful
- V= AcycloVir

30

What is used to visualize HSV in the lab?

Tzanck smear

*Will show "Giant cell"

31

What is the most common cause of an esophageal perforation?

Iatrogenic i.e. endoscopy

32

What is radiation esophagitis?

Radiation induced "burning" of the esophagus

33

What is a common cause of corrosive esophagitis?

Battery ingestion

34

What patient populations is pill esophagitis most common in?

Elderly "polypharmacy" patients

35

What is Scleroderma?

CREST Syndrome
- causes esophageal dysfunction

36

What is Barrett's Esophagus associated with?

Alcohol and tobacco use

37

What is the treatment plan for low grade Barrett's?

Surveillance every 2-3 years

38

What is the treatment plan for intermedaite grade Barrett's?

Survey every 6 months

39

What should you do with high grade Barrett's?

1) 2nd opinion
2) Surgery/laser