Prof Russell: Dysphagia Flashcards Preview

Jason's MD2 Surgery Rotation > Prof Russell: Dysphagia > Flashcards

Flashcards in Prof Russell: Dysphagia Deck (20):
1

2 phases of swallowing

initiation
deglutition

2

if just solids

intraluminal obstruction

3

if problems fluids and solids together?

possibly motility problem

4

symptoms of Acid Reflux?

bitter taste
hoarse voice/laryngitis
nocturnal cough
morning nausea

5

lips to the UES and diaphragm how long?

40cm to the lower esophageal sphincter (LES)
22cm to the Upper esophageal sphincter

6

sliding hiatus hernia how to see the Z-line?

measure the Z-line is higher than diaphragm

7

symptoms and endoscopy correlation?

Poor, could have big ulcer with little symptoms

8

how does hiatus hernia cause dysphagia?

esophageal angina (comes on after eating, spasm looks like AMI)
stricture from chronic ulceration

9

achalasia is?

no relaxation of lower esophageal reflux

10

other factors that affect Lower esophageal sphincter?

avoid lying down (don't put them in a C-shape)
lose weight
fatty foods
avoid smoking
caffeine
+++ventolin
anticholinergics (anti-depressants)
eat earlier

11

achalasia manometry pressure?
regular LES pressure?

regular 25mmHg
Achalasia 60-70mmHg

12

when to take the PPI?

15-30 min BEFORE your meal

13

when to check for H. pylori eradication

C14 Urea breath test 2 months after

14

esophagus drains where?

scalene nodes

15

how much jejenum and ileum length do you have?

4m

16

drugs that cause esophageal ulcers?

Slow K+
tetracycline
bisphosphinates
aspirin
NSAIDS

17

def'n of Barrett's oesophagus?

gastric looking epithelium lining the esophagus

18

goblets cells where in GIT?

small intestines, NOT the stomach of esophagus

19

PPIs if you stop, what happens?

reflex hypergastric secretion due to rebound and increased gastrin secretions

20

dysphagia definition

sense of blocking or obstruction in the oesophagus

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