Esophageal disorders Flashcards
pyrosis
heartburn
what are the definitions of waterbrash?
- excessive salivation secondary to vagal reflex triggered by acidification of esophageal mucosa
- burped up acid into the food tube causes one to salivate
what is the best diagnostic test for the esophagus?
endoscopy
what is endoscopic US used for?
stage esophageal CA
evaluate dysplasia in Barrett’s
assess submucosal lesions
what test is used to to:
stage esophageal CA
evaluate dysplasia in Barrett’s
assess submucosal lesions
endoscopic US
what does esophageal manometry test?
contractility
what test is used to assess contractility?
manometry
what are the symptoms of eosinophilic esophagitis? what population does it normally affect?
reccurent attacks of dysphagia with food impaction
young white males
what is the diagnosis for eosinophilic esophagitis?
symptoms
eosinophilic biopsies - squamous epithelial, eosinophilic predominant inflammation
what are the ddx for eosinophilic esophagitis?
GERD
drug hypersensitivity
connective tissue disease
what is observed upon EGD in eosinophilic esophagitis?
multiple rings
what are the common etiologies for infectious esophagitis?
candida
CMV
HSV
what are the signs and symptoms of CMV?
LAD
cough
LAD and cough are indicative of what infection?
CMV (HHV5)
what is observed on EGD for CMV esophagitis?
large, mid-distal serpigenous ulcers
