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Flashcards in GI Deck (133)
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1

alarming symptoms to do endoscopy

weight loss
blood in stool
anemia

2

alarming symptoms to do endoscopy

weight loss
blood in stool
anemia

3

YOUNG patient with progressive dysphagia for solids and liquids

achalasia

4

most accurate test in achalasia

manometry

5

tx of achalasia

DILATION, no cure
1. botox injections
2. pneumatic balloon dilations
3. heller myotomy

6

chance of perforation with pneumatic balloon dilation

7

dx of esophagus disorders

RADIOLOGIC tests okay to do first, but always lack the specificity of endoscopy

BIOPSY-- only diagnostic of cancer and baretts

8

most important clue for esophageal cancer

PROGRESSIVE dysphagia

9

PROGRESSIVE DYSPHAGIA by age

YOUNG- achalasia+ NO smoking/alcohol
OLD- esophageal cancer+ YES smoking/alcohol

10

best initial test for esophageal cancer

BARIUM

11

DIAGNOSTIC test for esophageal cancer

BIOPSY ie. most accurate

12

generally for cancer the radiologic test is...

NEVER the most accurate

13

YOUNG patient with progressive dysphagia for solids and liquids

achalasia

14

most accurate test in achalasia

manometry

15

tx of achalasia

DILATION, no cure
1. botox injections
2. pneumatic balloon dilations
3. heller myotomy

16

chance of perforation with pneumatic balloon dilation

less than 3%

17

dx of esophagus disorders

RADIOLOGIC tests okay to do first, but always lack the specificity of endoscopy

BIOPSY-- only diagnostic of cancer and baretts

18

most important clue for esophageal cancer

PROGRESSIVE dysphagia

19

PROGRESSIVE DYSPHAGIA by age

YOUNG- achalasia+ NO smoking/alcohol
OLD- esophageal cancer+ YES smoking/alcohol

20

best initial test for esophageal cancer

BARIUM

21

DIAGNOSTIC test for esophageal cancer

BIOPSY ie. most accurate

22

generally for cancer the radiologic test is...

NEVER the most accurate

23

sudden onset chest pain
worsened by drinking COLD LIQUIDS

diffuse esophageal spasm

24

most accurate diagnosis of eso spasm

MANOMETRY

25

treatment of diffuse esophageal spasm

CCB's

26

drugs a/w esophagitis

1. alendronate
2. doxycycline
3. KCl

27

intermittent dysphagia

shatzki ring

28

barium for diffuse esophageal spasm

corkscrew esophagus

29

2 investigations contra-indicated in zenkers

NG tube
endoscopy

since can--> PERFORATION--> more dangerous

30

manometry= answer for

1. spasm
2. achalasia
3. scleroderm