Flashcards in Prof Russell: Dysphagia Deck (20)
2 phases of swallowing
if just solids
if problems fluids and solids together?
possibly motility problem
symptoms of Acid Reflux?
lips to the UES and diaphragm how long?
40cm to the lower esophageal sphincter (LES)
22cm to the Upper esophageal sphincter
sliding hiatus hernia how to see the Z-line?
measure the Z-line is higher than diaphragm
symptoms and endoscopy correlation?
Poor, could have big ulcer with little symptoms
how does hiatus hernia cause dysphagia?
esophageal angina (comes on after eating, spasm looks like AMI)
stricture from chronic ulceration
no relaxation of lower esophageal reflux
other factors that affect Lower esophageal sphincter?
avoid lying down (don't put them in a C-shape)
achalasia manometry pressure?
regular LES pressure?
when to take the PPI?
15-30 min BEFORE your meal
when to check for H. pylori eradication
C14 Urea breath test 2 months after
esophagus drains where?
how much jejenum and ileum length do you have?
drugs that cause esophageal ulcers?
def'n of Barrett's oesophagus?
gastric looking epithelium lining the esophagus
goblets cells where in GIT?
small intestines, NOT the stomach of esophagus
PPIs if you stop, what happens?
reflex hypergastric secretion due to rebound and increased gastrin secretions