Esophagitis

Question 1

What are some causes of esophagitis?

Answer 1

Pill induced, reflux, eosinophilic to infectious

Question 2

What medications are associated with esophagitis?

Answer 2

Antibiotics
NSAIDS
Bisphosphonates

Question 3

What infectious agents could cause esophagitis?

Answer 3

Thrush in immunocompromised patients

Question 4

Patients with medication induced esophagitis present with what sx?

Answer 4

Retrosternal pain or heartburn (60%)
Odynophagia (50%)
Dysphagia (40%)

Question 5

Patients with pill induced esophagitis present with what sx?

Answer 5

Hematemesis, abdominal pain and weight loss

Question 6

How do patients with pill induced esophagitis typically take their pills?

Answer 6

Without water at bedtime

Question 7

Patients with candida esophagitis present with what sx?

Answer 7

Odynophagia, retrosternal pain
White mucosal plaque-like lesions

Question 8

What labs should be considered for esophagitis?

Answer 8

If infection is concern
CBC, specimen culture, swab for candida

Question 9

What imaging should be considered for esophagitis?

Answer 9

Endoscopy

Question 10

Treatment of pill induced esophagitis?

Answer 10

Stop taking offensive med
Take med with water

Question 11

Treatment of candida esophagitis

Answer 11

Evaluate from immunocompromised conditions: HIV, Cancer, DM

Question 12

When should broad spectrum antibiotics be considered in patients with esophagitis?

Answer 12

Elevated WBC and fever