1: Chest Pain And Odynophagia

Question 1

Seven non-life threatening causes of CP

Answer 1

1. PUD
2. Reflux esophagitis
3. Hiatal hernia
4. Nutcracker esophagus
5. Diffuse esophageal spasms
6. Eosinophilic esophagitis
7. Esophageal impaction

Question 2

Three causes of odynophagia

Answer 2

1. Pill induced esophagitis
2. Infectious esophagitis
3. Caustic esophagitis

Question 3

Two H pylori tests that can confirm eradication and one that cant

Answer 3

1. Can: fecal Ag, urea breath test

2. Cannot: IgA serum Abs

Question 4

Best way to detect H pylori but why its not first line

Answer 4

1. Upper endoscopy with biopsy - best, but its invasive so the non-invasive testing is done first

Question 5

Five major risk factors for candida infection in the esophagus

Answer 5

1. immunosuppression
2. Uncontrolled DM
3. Systemic corticosteroids
4. Radiation therapy
5. Systemic Abx

Question 6

Three most common infections in infectious esophagitis

Answer 6

1. Candida
2. HSV
3. CMV

Question 7

Which of the three infectious esophagitis bugs is most likely to affect a normal, immune competent host?

Answer 7

HSV

Question 8

A treatment to NOT do in a pt with caustic esophagitis and why

Answer 8

NG lavage, might re-expose the esophagus to corrosive agent