Diseases of the Esophagus Exam 3

Question 1

Grade 1

Answer 1

Erythematous mucosa

Question 2

Grade 2

Answer 2

Isolated round or linear erosions, not involving entire circumference

Question 3

Grade 3

Answer 3

Confluent erosions extending around entire circumference

Question 4

Grade 4

Answer 4

Complicated; grade 3 erosions plus deep ulcerations, strictures, or columnar epithelium-lined esophagitis

Question 5

How do you treat the grades of esophagitis?

Answer 5

• Grade 1: H2RA or PPI
• Grade 2: H2RA or PPI
• Grade 3: PPI
• Grade 4: PPI

Question 6

common causative agents for pill-induced esophagitis

Answer 6

• Antibiotics (especially tetracyclines)
• Antivirals
• Aspirin
• NSAIDs
• Bisphosphonates (e.g., alendronate, pamidronate)
• Potassium preparations
• Quinidine
• Ferrous sulfate or succinate; Note: Sustained release medications may present higher risk

Question 7

common risk factors for pill-induced esophagitis

Answer 7

• Female sex
• Bedridden patients
• Medication taken while supine or without water
• Patients with left atrial enlargement (may cause esophagus compression)