Dyspepsia + Dysuria Flashcards
Causes + types of dysphagia
Oropharyngeal ( Alzheimers, CVA, PD, MS, MG)
Solids only:
Obstructive (sudden, cough late in swallow)
Progressive
Peptic stricture (chronic heart burn)
Carcinoma
Intermittent
Lower esophageal ring
Solids + liquids:
Neuromuscular (cough early in swallow)
Progressive:
Scleroderma
Achalasia
Intermittent:
Diffuse esophageal spasm
Ix for dysphagia
Barium swallow (r/o obstruction)
Endoscopy (r/o obstruction, assess mucosa, biopsy)
Manometry
pH monitoring
Causes of dysuria
UTI, prostatitis, vaginitis, STIs, chemical irritation, diverticulitis
Who is at high risk for complicated UTI?
pregnancy, kids, diabetes, urolithiaisis
Causes of recurrent dysuria
post-coital UTI, atrophic vaginitis, retention
What does a birds peak on barium swallow indicate?
Achalasia
Rx for achalasia
Dilation
GERD prophylaxis
Botox
Myotomy
Reasons to treat asymptomatic bacteruria
renal transplant, pregnancy, invasive procedure of urogenital tract