dysphagia and gerd Flashcards
1
Q
def. dysphagia
A
diff. in swallowing- food sticks
2
Q
def. achalasia
A
dysphagia with normal gastroscopy
- absent decrease in lower eso sphyncter pressure
- loss of peristalsis
3
Q
def. scleroderma
A
multisystemic disease of abnormal collagen
- causes loss of LES pressure
- loss of peristalsis
4
Q
how to diag scleroderma
A
phsycial
5
Q
what is schatzki’s ring
A
ring around eso that causes intermittent dysphagia
6
Q
3 questions to ask for dysphagia
A
- solids only - or liuids too
- intermit or progressive
- heartburn?
7
Q
what if difficulty intitiating swallow?
A
oropharyngeal disease - ENT
8
Q
what if liquid too
A
neuromusc.
9
Q
see chart with typology of quesitons
A
be able to write it
10
Q
most common cause of all
A
peptic stricture
11
Q
def. eosinic esophagitis
A
- pain or trouble swallowing
- bolus food impaction
- young, allergies
- multiple esophegeal rings
12
Q
def. GERD
A
abnormal movement of gastric acid toward the mouth
13
Q
3 possible cuases of GERD
A
- esophageal clearance
- LES pressure
- gastric emptying
14
Q
path of GERD in most cases
A
transient relaxations of lower esophageal sphyinter
15
Q
4 extra esophageal sx
A
- cough
- laryngitis
- wheezing
- pneumonia
