Esophagus and Stomach Flashcards
Early satiety with associated N/V
Gastropariesis
Patient not passing gas, had multiple surgeries, with bilious vomiting
Adhesions
Bad taste in mouth of patient with GERD
Water Brash
What are some red flag symptoms of the upper GI tract
Weight loss, dysphagia, persistent vomiting, hematemesis, anemia
what can develop with longtime use of NSAIDs and GERD that manifests as difficulty swallowing
peptic strictures
Non progressive, structural problem, associated with plummer vinson syndrome
esophageal webs
What is “steak house syndrome”
Schatzki ring-problem with solid food
What histological findings are associated with barretts esophagus
metaplasia with goblet cells. Increased risk of adenocarcinoma.
-squamous to columnar metaplasia
What is the first line treatment if medication used in GERD
PPI
How to diagnose esophageal strictures
barium swallow then EGD
what are the two main esophageal cancers and where are they found
- adenocarcinoma (barretts)- distal 1/3 of esophagus
- Squamous cell carcinoma (smoking, etoh)- middle 1/3 of stomach
what will a patient with scleroderma present with
esophageal dysphagia (mainly solids), fibrosis of skin and visceral organs, raynauds
what lab findings are found in scleroderma
ANA, topoisomerase-I antibodies, anticentromere antibodies
what muscles are Zenker’s diverticulum associated with
cricioharyngeus and the inferior pharyngeal constrictor muscle
What are the symptoms of Sjorgrens disease
dry eyes, dry mouth, oropharyngeal dysphasia
progressive esophageal dysphagia to liquids and solids
achalasia
what its the radiographic finding for secondary achalasia
“birds beak” and “sigmoid deformity”
what is the test of choice for achalasia
manometry
what are the findings in plummer vinson syndrome
esophageal webs, iron-deficiency anemia, angular chelitis, glossitis, koilonychia (spoon nails)
History of scleroderma with mixture of iron deficient anemia and B12 deficiency is associated with what disease
Gastric antral vascular ectasia.
what is associated with eosinophilic esophagitis
corrugated esophageal rings, seasonal allergies, asthma
high amplitude long duration contractions of the esophagus
Nutcracker esophagus
Esophageal dysphagia, with corkscrew esophagus on barium esophagram
Diffuse esopahageal spasm AKA rosemary bead esophaguc
Incomplete tear on the gastric side of the GE junction that may extend to the distal esophagus
Mallory-Weiss syndome. Only involves mucosa and submucosa
