Flashcards in GI - Esophagus Deck (19):
Dysphasia versus odynophagia?
Difficulty swallowing versus pain with swallowing
Typical Achalasia patient - age? Dysphagia with what types of food? Drug use?
#dysphasia to both solids and liquids
#No history of alcohol or tobacco use
Suspect achalasia – most accurate test? When to do EGD?
Manometry; exclude malignancy
Only esophageal disorders that can be diagnosed with EGD?
Cancer and Barrett's esophagus
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
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
Treatment for esophageal cancer?
#Resection for a cure
#Chemoradiation post resection
#Stent for palliation
Unique history for diffuse esophageal spasm and nutcracker esophagus?
Most accurate test?
Precipitated by drinking cold liquids
Calcium channel blocker (like Prinzmetal angina)
Most common Infectious esophagitis in AIDS patient? Treatment?
Other possible etiologies?
Esophageal candidiasis; Oral fluconazole
CMV and herpes
Meds that cause esophagitis?
Schatzki rings – Due to? Associated with? Location? Treatment?
Acid reflux; hiatal hernia; distal esophagus
Plummer-Vinson syndrome? Treatment?
#Iron deficiency anemia
Test to diagnose Zenker diverticulum?
Manometry finding in scleroderma? Management?
Decrease tone and ability to close LES
Use manometry for these diseases?
Most common cause of epigastric pain?
Non-ulcer dyspepsia (50-90%)
Epigastric pain with bloating in a diabetic - diagnosis?
Avoid these foods with GERD?