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Flashcards in GI - Esophagus Deck (19)
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0
Q

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

A
#Under 50 
#dysphasia to both solids and liquids
#No history of alcohol or tobacco use
1
Q

Dysphasia versus odynophagia?

A

Difficulty swallowing versus pain with swallowing

2
Q

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

A

Manometry; exclude malignancy

3
Q

Only esophageal disorders that can be diagnosed with EGD?

A

Cancer and Barrett’s esophagus

4
Q

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

A
#Older than 50
#dysphagia FIRST for solids THEN for liquids
#Alcohol and tobacco use
#History of GERD
5
Q

Esophageal cancer – best initial test? Most accurate test?

Use of other tests?

A

Barium (maybe); endoscopy

#CT/MRI for extent of spread
#PET to determine if resectable
6
Q

Treatment for esophageal cancer?

A
#Resection for a cure
#Chemoradiation post resection
#Stent for palliation
7
Q

Unique history for diffuse esophageal spasm and nutcracker esophagus?

Most accurate test?

Treatment?

A

Precipitated by drinking cold liquids

Manometry

Calcium channel blocker (like Prinzmetal angina)

8
Q

Most common Infectious esophagitis in AIDS patient? Treatment?

Other possible etiologies?

A

Esophageal candidiasis; Oral fluconazole

CMV and herpes

9
Q

Meds that cause esophagitis?

A
#Doxycycline
#Alendronate
#KCl
10
Q

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

A

Acid reflux; hiatal hernia; distal esophagus

Pneumatic dilation

11
Q

Plummer-Vinson syndrome? Treatment?

A
#Proximal web
#Iron deficiency anemia

Fe

12
Q

Test to diagnose Zenker diverticulum?

A

Barium swallow

13
Q

Manometry finding in scleroderma? Management?

A

Decrease tone and ability to close LES

PPI

14
Q

Use manometry for these diseases?

A
# achalasia
#Esophageal spasm
#Scleroderma
15
Q

Most common cause of epigastric pain?

A

Non-ulcer dyspepsia (50-90%)

16
Q

Epigastric pain with bloating in a diabetic - diagnosis?

A

Gastroparesis

17
Q

Avoid these foods with GERD?

A
#Alcohol
#Nicotine
#caffeine
#Chocolate 
#peppermint
18
Q

Endoscopy for GERD if?

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

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