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Gastrointestinal > Esophagus > Flashcards

Esophagus Flashcards

1
Q

causes of Esophagitis

A

Reflux, Candida, CMV, HSV, HIV, Eosinophils, Pill

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2
Q

Esophagitis presents with?

A

Heartburn, dysphagia, cough, hoarseness, odynophagia

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3
Q

What meds cause esophagitis?

A

Bisphos (stay upright), NSAIDS

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4
Q

How can you diagnose Esophagitis?

A

MANOMETRY. Barium, EGD but usually clinical

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5
Q

How do you treat esophigits?

A

PPI, H2, sucrolate (old) -Nissen Fundo

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6
Q

Motility issues are

A

Achalasia (no ganglion), DM, Scleraderma, gastroparesis, EtOH

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7
Q

What is Bird-Beak associated with?

A

Achalasia

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8
Q

How do you treat achalasia?

A

Balloon, or Nitrates/CCB

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9
Q

How do you diag Mallory W?

A

Longitudinal tear - EGD + EtOH

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10
Q

How do you treat Mallory W?

A

Stop bleed. EGD cauterize

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11
Q

if Hgb <8?

A

transfuse

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12
Q

MC risk factor for AdenoCar?

A

GERD

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13
Q

Causes of Stricture?

A

inflame, Gerd, congenital, iatrogenic, malignancy

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14
Q

How do you diag and tx strcitures?

A

EGD, balloon dilation. Avoid NSAID

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15
Q

What is plummer vinson? Tx?

A

Stricture webs + low iron.

Dilation or PPI

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16
Q

Cirrhosis or SVC can lead

A

varices - EGD

17
Q

Varices present with?

A

melena, hematemesis, cirrhosis or SVC

18
Q

how can you tx varices?

A

Fix liver, BB ->TIPS, stent

19
Q

IgE gastritis is due to

A

Eosinophilive/ Pills

20
Q

Which infectious disease can cause loss of esophageal ganglion cells?

A

Chagas disease.

21
Q

Cricopharyngeus muscle is the most common site of lodging items?

A

Yes

22
Q

Pt who had an EGD now how HoTn and Tachy. What do you do?

A

Consult - iatrogenic EGD

23
Q

what hemostatic agent can be injected to control bleeding

A

Epinephrine

24
Q

Zollinger-Ellison syndrome can be part of what autosomal dominant familial syndrome?

A

Multiple endocrine neoplasia type 1.

25
Q

adenocarcinoma of the gastroesophageal junction are associated with?

A

Virchow nodes

26
Q

Anorexia, Hiatal hernias, and Etoh with wrentching are associated with?

A

Mallory Wiess

27
Q

CD4 count was 90 cells/μL. Upper endoscopy reveals multiple, small ulcers in the distal esophagus

A

HSV1; Acyclovir

28
Q

MCC of varices in the US is from?

A

Cirrhosis

29
Q

What medication implicated in pill esophagitis carries the highest risk for subsequent stricture formation?

A

Alendronate.

30
Q

Why is scleroderma contraInd in surgery?

A

high rate or postop dysphagia

31
Q

How can you medically tx ZE?

A

PPI

32
Q

What valvular disease is associated with AV malformation & GI bleeding

A

Aortic Stenosis

Gastrointestinal (7 decks)

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