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Flashcards in Small group Upper GI Deck (17):
1

Burning pain, relief with antacids/PPI, lack of exacerbation with exercise:

?

GERD

(possible:
- hiatal hernia w/ reflux
- ulcer
- non GERD esophagitis)

2

Risk factors for GERD

Smoking, Alcohol,
Obesity
Male
>50

3

How should PPI be used?

(Omeprazole)
should be taken 30-60 min prior to eating
- since PPIs only act on actively secreting pumps, meals and mornings maximize are optimal

4

alcohol and tobacco and high fat foods leads to LES ______

LES sphincter relaxation
- cutting back can reduce reflux

5

Caffeine and coffee consumption may do what to contribute to GERD?

Increase Gastric acid production

6

If pt has GERD and is symptomatic for 10 years, (long time) what test should you run?

Esophagogastroduodenoscopy (EGD)

7

Salmon pink: buzz word for?

Barrett Esophagus

8

Red dots seen on reactive squamous epithelium, think . . .

eosinophilic esophagitis

9

squamous pearls seen on biopsy of mass
- think?

Squamous cell carcinoma

10

risk factor for SCC?

same as adeno
- smoking, alcohol

But also
- caustic injury
- achalasia

11

Where is adenocarcinoma seen vs SCC for GI?

Adeno: by GEJ
- gastric cardia, GEJ, lower eso

SCC: proximal esophagus (midd-upper 1/3)

12

What is the presence of melena suggestive of?

Source proximal to the ligament of Treitz.
Hb --> broken down to hematin (black)

or

Slow bleeding from small bowel and prox colon --> melena

13

Most common causes of gastric ulcers?

H.Pylori (65% stomach, 85% duodenal)

NSAIDS
Tobacco
Neoplasm

14

Ways to test for H. pylori infxn

serum IgG Ab to H. pylori
- identifies exposure, not active infxn

Stool
- antigen to H.Pylori - best but not avail. everywhere

Breath
Urease containing organisms

15

Is nuclei arranged around basal end more or less malig?

less

16

Complications of peptic ulcer disease

Bleeding
perforation
obstruction from edema/scarring

17

Diseases assoc with H. pylori

chronic gastritis
PUD
gastric carcinoma
Gastric MALT lymphoma