Esophagus

Question 1

causes of Esophagitis

Answer 1

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

Question 2

Esophagitis presents with?

Answer 2

Heartburn, dysphagia, cough, hoarseness, odynophagia

Question 3

What meds cause esophagitis?

Answer 3

Bisphos (stay upright), NSAIDS

Question 4

How can you diagnose Esophagitis?

Answer 4

MANOMETRY. Barium, EGD but usually clinical

Question 5

How do you treat esophigits?

Answer 5

PPI, H2, sucrolate (old) -Nissen Fundo

Question 6

Motility issues are

Answer 6

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

Question 7

What is Bird-Beak associated with?

Answer 7

Achalasia

Question 8

How do you treat achalasia?

Answer 8

Balloon, or Nitrates/CCB

Question 9

How do you diag Mallory W?

Answer 9

Longitudinal tear - EGD + EtOH

Question 10

How do you treat Mallory W?

Answer 10

Stop bleed. EGD cauterize

Question 11

if Hgb <8?

Answer 11

transfuse

Question 12

MC risk factor for AdenoCar?

Answer 12

GERD

Question 13

Causes of Stricture?

Answer 13

inflame, Gerd, congenital, iatrogenic, malignancy

Question 14

How do you diag and tx strcitures?

Answer 14

EGD, balloon dilation. Avoid NSAID

Question 15

What is plummer vinson? Tx?

Answer 15

Stricture webs + low iron.

Dilation or PPI

Question 16

Cirrhosis or SVC can lead

Answer 16

varices - EGD

Question 17

Varices present with?

Answer 17

melena, hematemesis, cirrhosis or SVC

Question 18

how can you tx varices?

Answer 18

Fix liver, BB ->TIPS, stent

Question 19

IgE gastritis is due to

Answer 19

Eosinophilive/ Pills

Question 20

Which infectious disease can cause loss of esophageal ganglion cells?

Answer 20

Chagas disease.

Question 21

Cricopharyngeus muscle is the most common site of lodging items?

Answer 21

Yes

Question 22

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

Answer 22

Consult - iatrogenic EGD

Question 23

what hemostatic agent can be injected to control bleeding

Answer 23

Epinephrine

Question 24

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

Answer 24

Multiple endocrine neoplasia type 1.

Question 25

adenocarcinoma of the gastroesophageal junction are associated with?

Answer 25

Virchow nodes

Question 26

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

Answer 26

Mallory Wiess

Question 27

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

Answer 27

HSV1; Acyclovir

Question 28

MCC of varices in the US is from?

Answer 28

Cirrhosis

Question 29

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

Answer 29

Alendronate.

Question 30

Why is scleroderma contraInd in surgery?

Answer 30

high rate or postop dysphagia

Question 31

How can you medically tx ZE?

Answer 31

PPI

Question 32

What valvular disease is associated with AV malformation & GI bleeding

Answer 32

Aortic Stenosis