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Flashcards in Gastroentrology Deck (20):
1

Evaluation of oropharyngeal dysphagia

Videofluoroscopy

2

Progressive Solid food dysphagia

Achalasia, esophageal Ca

3

Episodic solid-food dysphagia

esophageal web or distal esophageal ring (Schatzki ring)

4

Achalasia in a person traveling to South America

Chagas Disease

5

Order of diagnostic testing for Achalasia

Barium Swallow (screening test)
Esophageal manometry (peristalsis abn & LES relaxation issue)
Upper endoscopy (r/o adenocarcinoma )

6

Treatment for Achalasia

Laparoscopic surgical myotomy of LES or pneumatic dilation

7

Extraesophageal manifestations of GERD

asthma, chronic laryngitis, chronic cough

8

Tx of GERD Sx refractory to PPIs

double dose of PPI for 4-8 weeks before performing upper endoscopy

9

Refractory GERD Sx w/ normal upper endoscopy

24hr esophageal pH monitoring while taking PPIs

10

Screening for Barrett Esophagus

men >50 w/ chronic GERD Sx (>5yrs)

11

Follow up:
Barrett's Esophagus and no dysplasia
Barrett's Esophagus w/ low grade dysplasia

BE w/ no dysplasia: endoscopy 3-5 yrs
BE w/ low grade dysplasia: endoscopy 6-12 months

12

Causes of pill induced esophagitis

Tetracycline, NSAIDs, KCL, Iron, Alendronate

13

30 year old man has frequent heartburn and recurrent episodes of food impaction

Eosinophilic esophagitis

14

Tx for Eosinophilic esophagitis

swallowed fluticasone or budesonide

15

2 most common causes of PUD

NSAIDs and H.pylori

16

Testing for H.pylori
- Invasive and Noninvasive

Endoscopy biopsy (no affected by antibiotics, PPIs or bismuth compounds)
Non invasive: rapid urease testing or stool for H.pylori antigens

17

Cause of false negative testing for H.pylori: rapid urease test, urea breath test, stool antigen

Person's who recently took antibiotics, bismuth-containing compounds, PPIs
Stop Antibiotics 28 days prior, PPIs 2 weeks prior

18

PUD
Tx for persons <50 w/o alarm symptoms
Tx for person >50 or alarm Sx any age

- treat for H.pylori w/o performing endoscopy
- Obtain upper endoscopy and H.pylori testing

19

Tx for PUD which is NSAID induced but cannot stop NSAIDs

Prophylaxis w/ PPI or Misoprostol

20

H.pylori Tx

PPI + Clarithromycin + (Amoxicillin or Metronidazole) for 2 weeks