Flashcards in GI - 3 Esophagus pt 1 Deck (20)
Heartburn, Dysphagia, and Odynophagia are symptoms of:
an Esophageal disorder (vague)
What are the 3 vague symptoms of an Esophageal disorder?
Heartburn, Dysphagia, Odynophagia
What should be ruled out before thinking a patient has an esophageal disorder?
A heart attack, b/c of the heartburn
Difficulty transferring material (food) from the oropharynx to the esophagus is called
What is Oropharyngeal dysphagia?
Difficulty transferring food from oropharynx to esophagus
Sensation of bolus in neck, cough, choke, and repetitive swallowing is:
What will a patient with Oropharyngeal dysphagia complain of? (4)
Sense of bolus in neck, cough, choke, repetitive swallowing
Anticholinergics may do what?
Slow down the salivary tract, and patients have odynopharyngeal dysphagia
4 examples of a Mechanical obstruction that causes Esophageal Dysphagia
Schatzki ring, stricture, Ca, esophagitis
3 examples of motility disorders that cause esophageal dysphagia:
Achalasia, diffuse esophgeal spasm, scleroderma
Difficulty with solids and liquids, episodic, unpredictable:
Motility disorders (Achalasia, diffuse esophgeal spasm, scleroderma)
Diffulty with only solids (no liquids), progressive, predictable:
Mechanical obstruction (Schatzki ring, stricture, Ca, esophagitis)
What is odynophagia?
Name 2 categories that cause Odynophagia:
Erosive disorders and Corrosive injury
Name the 3 Erosive disorders that cause Odynophagia
Candida, herpes virus, or CMV (cytomegalovirus)
What's the test/study of choice for the esophagus? Why?
Upper endoscopy. It allows direct visualization, biopsy, and dilation of strictures. It is diagnostic as well as therapeutic
What is the best test to evaluate oropharyngeal dysphagia?
What differentiates between mechanical lesions and motility disorders?
What's unique about doing a Barium Esophagram?
It differentiates between mechanical and motility disorders.