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Flashcards in GI - 3 Esophagus pt 1 Deck (20)
1

Heartburn, Dysphagia, and Odynophagia are symptoms of:

an Esophageal disorder (vague)

2

What are the 3 vague symptoms of an Esophageal disorder?

Heartburn, Dysphagia, Odynophagia

3

What should be ruled out before thinking a patient has an esophageal disorder?

A heart attack, b/c of the heartburn

4

Difficulty transferring material (food) from the oropharynx to the esophagus is called

Oropharyngeal dysphagia

5

What is Oropharyngeal dysphagia?

Difficulty transferring food from oropharynx to esophagus

6

Sensation of bolus in neck, cough, choke, and repetitive swallowing is:

Oropharyngeal dysphagia

7

What will a patient with Oropharyngeal dysphagia complain of? (4)

Sense of bolus in neck, cough, choke, repetitive swallowing

8

Anticholinergics may do what?

Slow down the salivary tract, and patients have odynopharyngeal dysphagia

9

4 examples of a Mechanical obstruction that causes Esophageal Dysphagia

Schatzki ring, stricture, Ca, esophagitis

10

3 examples of motility disorders that cause esophageal dysphagia:

Achalasia, diffuse esophgeal spasm, scleroderma

11

Difficulty with solids and liquids, episodic, unpredictable:

Motility disorders (Achalasia, diffuse esophgeal spasm, scleroderma)

12

Diffulty with only solids (no liquids), progressive, predictable:

Mechanical obstruction (Schatzki ring, stricture, Ca, esophagitis)

13

What is odynophagia?

Painful swallowing

14

Name 2 categories that cause Odynophagia:

Erosive disorders and Corrosive injury

15

Name the 3 Erosive disorders that cause Odynophagia

Candida, herpes virus, or CMV (cytomegalovirus)

16

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

17

What is the best test to evaluate oropharyngeal dysphagia?

Video esophagraphy

18

What differentiates between mechanical lesions and motility disorders?

Barium esophagram

19

What's unique about doing a Barium Esophagram?

It differentiates between mechanical and motility disorders.

20

If an unfamiliar patient complains of painful swallowing, which test should be done first? second?

1. Barium Esophagram
2. EGD