Esophagitis pg 2200

Question 1

range of causes of esophagitis

Answer 1

pill-induced, eosinophilic, and infectious

Question 2

what are some medications that cause direct esophageal injury?

Answer 2

antibiotics- tetracycline, doxy, clinda
anti-inflammatory- aspirin, NSAIDS
Bisphosphonates- (meds that help with bone loss)

Question 3

signs and sx of esophagitis

Answer 3

medication induced pain may present with retrosternal pain or hear burn, odynophagia, and dysphagia
pill induced may have hematemesis, abdominal pain, weight loss.

w candida esophagitis the hallmark is odynophagia, localized to discrete retrosternal area. Common in HIV patients and patients with hematologic malignancies.

Question 4

labs for esophagitis

Answer 4

in infection is considered:
CBC
Specimen culture
Swab for candida

Consider endoscopy

Question 5

treatment for esophagitis

Answer 5

treat the underlying cause: stop taking offensive medication and take pills with water

evaluate for immunocompromised conditions if candida esophagitis

INITIAL CARE: broad spectrum antibiotics in patients who present with fever and WBC