Esophagitis/GERD Flashcards
What is the MCC of Esophagitis?
GERD
What is the MCC of Esophagitis in Immunocompromised patients?
Candida
CMV
HSV
Which medications can cause esophagitis?
- NSAIDS
- BB
- CCB
- Bisphosphonates
- Vitamin C
- Iron supplements
- Potassium Cl
What are some risk factors to Esophagitis?
- Pregnancy
- ETOH use
- Smoking
- Chocolate
- Spicey food
What is the best way to diagnose Esophagitis?
Upper endoscopy
A patient’s upper endoscopy revealed linear yellow-white plaques. How would you manage this patient?
Candida:
PO Fluconazole 1st line
-Voriconazole; Caspofungin 2nd line
A patient’s upper endoscopy revealed small, deep ulcers. How would you manage this patient?
HSV:
Acyclovir 1st line
-Foscarnet 2nd line
A patient’s upper endoscopy revealed large superficial shallow ulcers. How would you manage this patient?
CMV:
Gangcylovir 1st line
–Valganciclovir; Foscarnet 2nd line
Which esophagitis is associated with multiple corrugated rings seen on endoscopy?
Eosinophilic esophagitis
How do you manage a child with eosinophilic esophagitis?
- Remove foods that incite an allergic response
- Inhaled corticosteroids WITHOUT a spacer
How would you manage a patient with pill-induced esophagitis?
- Instruct patient to take pills with at least 4 ounces of water
- avoid recumbency for at least 30-60 min after taking their pills
A patient has ingested drain cleaner on accident and is suffering from Caustic esophagitis. What is the next best step in managing this patient?
Endoscopy is used to determine the extent of damage and to look for complications: perforation, stricture, esophageal fistula
A patient has ingested drain cleaner on accident and is suffering from Caustic esophagitis. What is the best management for this patient?
Supportive, pain medications, IV fluids
What are some alarm sxs in GERD patients?
- Dysphagia
- Odynophagia
- Weight loss
- Bleeding
What is the gold standard for diagnosing GERD?
24 Hr ambulatory monitoring
