GI Quiz 1 - Other disorders Flashcards Preview

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Flashcards in GI Quiz 1 - Other disorders Deck (13)
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1
Q

Describe Cricopharyngeal Incoordination?

A

Cricopharyngeus mm (UES) = uncoordinated -> Zenker’s diverticulum

2
Q

What are some etiologies of Cricopharyngeal Incoordination?

A

Neuromuscular disorders

3
Q

What are the SSx of Crico. Incoord.?

A

Choking, swallowing air, regurg. of fluid into nose, dysphagia w/solids

4
Q

What are complications of Crico. Incoord.?

A

Repeated aspiration of material from diverticulum -> chronic lung dz (Tx surgical section of crico mm)

5
Q

What type of population are more likely to get an infectious eso. disorder?

A

Pts w/impaired host defenses: HIV/AIDs, transplantation, alcoholics, diabetes, malnourished, CA

HSV & CMV -> AIDS/transplant pts
Candida Albicans -> anyone who’s immune deficient

6
Q

What is the work-up for infectious eso. disorders?

A

Endoscopic visualization & culture

7
Q

What are special SSx seen in Candida Albicans Infectious Eso. Disorder?

A

Odynophagia, Dysphagia, Oral thrush lesions

8
Q

What is Mallory-Weiss Syndrome?

A

Non-penetrating mucosal laceration of distal eso. & prox. stomach from vomiting/retching/hiccough

9
Q

What is the % of GI hemorrhages caused by M-W Syndrome? What’s the prognosis of M-W Syndrome?

A

5% of GI hemorrhage
Most spontaneously resolve
10% require surgery

10
Q

What is a Hiatal Hernia?

A

Protrusion of stomach through diaphragmatic hiatus

11
Q

What are the 2 types of Hiatal Hernias & which is most common?

A

Sliding: GE junction & portion of stomach above diaphragm (MOST COMMON)

Paraesophageal: GE junction in norm. location, portion of stomach adj. to Eso. in diaphragmatic hiatis

12
Q

What are the typical SSx of a hiatal hernia?

A

Asymptomatic

Sliding -> chest pain
Paraesophageal -> incarcaerate & strangulate

13
Q

What is the work-up of Hiatal Hernia & complication?

A

Barium Swallow
CXR - incidental finding of Lrg. hernia

Occult/Massive GI hemorrhage