Esophagus Flashcards
1
Q
What is the first step to diagnose achalasia?
Next step to confirm?
Last step and why?
A
Barium swallow
Manometry to confirm
EGD with biopsy to rule out cancer
2
Q
What is the best way to treat achalasia?
A
Myotomy to remove the muscle
3
Q
What type of dysphagia is with esophageal cancer?
How to diagnose?
A
Progressive, meaning at first it is with large food items and progressive to even liquids as the mass grows
Do barium swallow first to see that something is there and then do EGD with biopsy
4
Q
How do we best define Mallory Weiss tear vs boerhaaves?
How to diagnose boerhaaves?
A
Superficial mucosal tear with blood in vomit but IS self limiting
Transmural tear, perforates esophagus, air in mediastinum.
1. Gastro griffin swallow 2. Barium swallow 3. EGD
