dysphagia and gerd Flashcards
def. dysphagia
diff. in swallowing- food sticks
def. achalasia
dysphagia with normal gastroscopy
- absent decrease in lower eso sphyncter pressure
- loss of peristalsis
def. scleroderma
multisystemic disease of abnormal collagen
- causes loss of LES pressure
- loss of peristalsis
how to diag scleroderma
phsycial
what is schatzki’s ring
ring around eso that causes intermittent dysphagia
3 questions to ask for dysphagia
- solids only - or liuids too
- intermit or progressive
- heartburn?
what if difficulty intitiating swallow?
oropharyngeal disease - ENT
what if liquid too
neuromusc.
see chart with typology of quesitons
be able to write it
most common cause of all
peptic stricture
def. eosinic esophagitis
- pain or trouble swallowing
- bolus food impaction
- young, allergies
- multiple esophegeal rings
def. GERD
abnormal movement of gastric acid toward the mouth
3 possible cuases of GERD
- esophageal clearance
- LES pressure
- gastric emptying
path of GERD in most cases
transient relaxations of lower esophageal sphyinter
4 extra esophageal sx
- cough
- laryngitis
- wheezing
- pneumonia
how to est GERD diagnosis defninitively
24hr eso monitoring
2 classes of reflux
- normal esophageous
2. with inflammation
5 complications of GERD
- esophagitis
- ulceration
- bleeds
- structure - most worrysome
- barretts
what is treatment of reflux
PPI
