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Flashcards in GI - Esophagus Deck (19):
0

Dysphasia versus odynophagia?

Difficulty swallowing versus pain with swallowing

1

Typical Achalasia patient - age? Dysphagia with what types of food? Drug use?

#Under 50
#dysphasia to both solids and liquids
#No history of alcohol or tobacco use

2

Suspect achalasia – most accurate test? When to do EGD?

Manometry; exclude malignancy

3

Only esophageal disorders that can be diagnosed with EGD?

Cancer and Barrett's esophagus

4

Typical esophageal cancer patient - age? Symptoms? Drug use? PMHx?

#Older than 50
#dysphagia FIRST for solids THEN for liquids
#Alcohol and tobacco use
#History of GERD

5

Esophageal cancer – best initial test? Most accurate test?

Use of other tests?

Barium (maybe); endoscopy

#CT/MRI for extent of spread
#PET to determine if resectable

6

Treatment for esophageal cancer?

#Resection for a cure
#Chemoradiation post resection
#Stent for palliation

7

Unique history for diffuse esophageal spasm and nutcracker esophagus?

Most accurate test?

Treatment?

Precipitated by drinking cold liquids

Manometry

Calcium channel blocker (like Prinzmetal angina)

8

Most common Infectious esophagitis in AIDS patient? Treatment?

Other possible etiologies?

Esophageal candidiasis; Oral fluconazole

CMV and herpes

9

Meds that cause esophagitis?

#Doxycycline
#Alendronate
#KCl

10

Schatzki rings – Due to? Associated with? Location? Treatment?

Acid reflux; hiatal hernia; distal esophagus

Pneumatic dilation

11

Plummer-Vinson syndrome? Treatment?

#Proximal web
#Iron deficiency anemia

Fe

12

Test to diagnose Zenker diverticulum?

Barium swallow

13

Manometry finding in scleroderma? Management?

Decrease tone and ability to close LES

PPI

14

Use manometry for these diseases?

# achalasia
#Esophageal spasm
#Scleroderma

15

Most common cause of epigastric pain?

Non-ulcer dyspepsia (50-90%)

16

Epigastric pain with bloating in a diabetic - diagnosis?

Gastroparesis

17

Avoid these foods with GERD?

#Alcohol
#Nicotine
#caffeine
#Chocolate
#peppermint

18

Endoscopy for GERD if?

#Dysphasia/odynophagia
#weight loss
#anemia/guaiac positive
#5-10 years (excluded Barrett)

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