GI - 3 Esophagus pt 3 Flashcards Preview

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Flashcards in GI - 3 Esophagus pt 3 Deck (24)
1

Longitudinal ulcers in esophagus is a sign of:

CMV esophagitis

2

Signs and symptoms of Infectious Esophagitis (4)

Dysphagia, Odynophapgia, Substernal cp (chest pain), Oral thrush with/without herpes

3

How is infectious esophagitis diagnosed?

Upper endoscopy with bx (biopsy)

4

What treats Candida?

Fluconazole

5

What treats Herpes? (2)

Acyclovir, Famciclovir

6

What is Pill Induced Esophagitis?

Pills such as Iron, Vitamin C, antibiotics cause erosions to the esophagus if there is direct-prolonged mucosal contact.

7

3 Symptoms of Pill-induced Esophagitis

Severe retrosternal cp
Odynophagia
Dysphagia
(several hours after pill)

8

Treatment for Pill-induced esophagitis:

Remove offending agent, drink water, remain upright, and use PPI

9

What is caustic injury? 6 symptoms

Ingesting Alkali or acid (drain cleaners). Immediate severe burning, chest pain, gagging, drooling, dysphagia.

10

quick treatment for caustic injury: (2 things)

IV Fluids, Pain Meds - NPO (not by mouth)

11

What is stricture? What's the med for it?

Recurrent dilatation. Triamcinolone.

12

Nonpenetrating mucosal tear at GE junction from retching, lifting, vomiting

Mallory-Weiss Syndrome

13

What is Mallory-Weiss Syndrome?

Nonpenetrating mucosal tear at GE junction from retching, lifting, vomiting

14

Signs/symptoms of Mallory-Weiss Syndrome

Hematemesis (blood in vomit)

15

How do you diagnose Mallory-Weiss Syndrome?

Endoscopy discovers .5-4cm mucosal tear at GE junction or in Gastric mucosa

16

Where are esophageal webs found?

Squamous mucosa in mid-upper esophagus

17

Plummer-Vincent Syndrome has what triad of symptoms? Who does it mainly infect?

Esophageal webs, dysphagia, iron deficiency anemia. common in newborns.

18

What are Schatzki Rings?

Thin, circumferential mucosal structures in DISTAL esophagus. more associated with reflux.

19

Where are esophageal webs found? Schatzki rings?

Esophageal webs: mid-upper esophagus
Schatzki rings: Distal esophagus

20

What is Zenker's Diverticulum?

Protrusion of pharyngeal mucosa at the paryngeoesophageal junction

21

Protrusion of pharyngeal mucosa at the paryngeoesophageal junction

Zenker's Diverticulum

22

Symptoms of Zenker's Diverticulum (7)

Oropharyngeal dysphagia, coughing, bad breath, regurgitation of undigested food, nocturnal choking, gurgling in throat, protrusion in neck

23

What test will diagnose Zenker's Diverticulum?

Barium Esophagram

24

What are esophageal varices?

Dilated submucosal veins due to portal hypertension