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GI 2 Final AH > Esophagus And Stomach Disorders - McGowan > Flashcards

Esophagus And Stomach Disorders - McGowan Flashcards

1
Q

What type of scleroderma affects children and has morphea patches?

A

Localized

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2
Q

what causes steakhouse syndrome?

A

Schatzki ring

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3
Q

Biggest complication of eosinophilic esophagitis?

A

Esophageal perforation

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4
Q

What can hot beverages, alcohol, smoking or HPV cause?

A

SCC

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5
Q

Bird beak sign seen with what?

A

Achalasia

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6
Q

What causes the antigenic variation of African sleeping sickness?

A

T. Gambiense

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7
Q

What causes esophageal dysphagia to mainly solids but some liquids?

A

Scleroderma

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8
Q

Mallory-weiss tear occurs where?

Common cause of what?

Dx how?

A

Nontransmural tear at GE junction

Upper GI bleed

EGD, hx

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9
Q

Nutcracker esophagus has a ______ that relaxes normally but an _____ at baseline?

A

LES

Elevated pressure

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10
Q

What gets worse within 30min after eating?

Risk factor?

A

Gastric ulcer

H. Pylori and smoking

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11
Q

Best tests for H. Pylori?

A

Stool Ag immunoassay

C13/14 urea breath test

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12
Q

Burn patients are at risk for what?

Tx how?

A

Stress ulcers

PPI

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13
Q

Esophageal stricture has what features?

A

Dysphagia that is progressive from Solids –> liquids

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14
Q

Histologic exam for H. Pylori?

Serology?

A

EGD w/biopsy or rapid CLO

Serum h. Pylori antibodies, IgA

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15
Q

What should you suspect in a pt w/dysphagia and esophageal food impactions?

A

Eosinophilic esophagitis

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16
Q

Clinical course of diffuse esophageal spasm?

Diagnose how?

What radiograph buzz word?

A

Intermittent, NOT progressive

Manometry, EGD

Rosary bead esophagus

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17
Q

How do you diagnose GERD?

A

Ambulatory 24-48 hr esophageal pH recording

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18
Q

What anatomic location does ZE occur at?

What area of natural weakness?

Diagnose how?

A

Bw cricopharyngeus and inferior pharyngeal constrictor muscles

Killian’s triangle

Barium swallow

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19
Q

What type of scleroderma has the worst prognosis?

Best?

A

Diffuse

Limited (HAS anticentromere antibodies)

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20
Q

What is known to cause vaginal dryness, dental caries, and parotid/other salivary gland enlargement?

A

Sjogren’s

21
Q

What presents as a gnawing pain 1-3 hours after eating but is relieved by food?

A

Duodenal ulcer (anterior wall of prox D)

22
Q

What causes Tardive dyskinesia?

What clinical sign does it show?

A

Drug related: metoclopramide

Lip smacking

23
Q

Give H. Pylori microbio description

A

curved g(-) rod (microaerophilic baccili w/flagella)

24
Q

What is crunching sound upon auscultation of the heart due to pneumomediastinum?

Occurs with what?

A

Hamman’s sign

Boerhaave’s syndrome

25
Q

ZE syndrome occurs where?

Inheritance pattern?
What gene?

A

Prox duodenum (45%) and pancreas (25%), LNs (5-15%)

AD, MEN1

26
Q

What has greater amplitude and duration but normal coordinated contraction in the esophagus?

A

Nutcracker esophagus (Hypertensive peristalsis)

27
Q

What has a strong association with B cell non-Hodgkin lymphoma?

A

Sjogren’s syndrome

28
Q

What disease is ANA present in 90% - speckled or centromere?

A

Scleroderma

29
Q

What are risk factors for candidiasis?

A

Uncontrolled diabetic

Steroid use

30
Q

What kind of disorder is achalasia?

Problem with what?

Loss of what?

A

Motility disorder that is progressive (solids and liquids)

Propulsion (absent peristalsis)

Loss of ganglion cells w/in esophageal myenteric plexus

31
Q

Red flags for GERD?

A

Laundry list

Weight loss
persistent Vom
Constant/severe pain
Dysphagia
Hematemesis 
Melena 
Anemia
32
Q

Scleroderma occurs in what age group?

More in men or women?

Clinical course?

Hallmark?

A

30-50

W > M

Progressive (more severe in AA)

Thickening and hardening of the skin (microangiopathy and fibrosis of skin and visceral organs)

33
Q

What is the most common esophageal stricture?

Secondary to what?

A

Peptic

GERD

34
Q

Where does Zenker’s Diverticulum occur most often?

Is what kind of diverticulum?

A

Oropharyngeal (upper esophagus)

False diverticula

35
Q

How to diagnose esophageal perforation?

Tx?

A

CT of chest look at mediastinum

NGT suction, NPO, surgery, Abx

36
Q

Where do gastric ulcers occur?

Associated with what?

What type of pain?

A

Lesser curvature of the antrum of the stomach

H. Pylori

Burning epigastric

37
Q

What is the definitive method for diagnosing achalasia?

What deformity may be present?

A

Esophageal manometry

“Sigmoid deformity”

38
Q

When does Schatzki ring occur?

Diagnose how?

Tx?

A

> 40 y/o, aquired

Barium swallow/EGD

Dilation

39
Q

What is very effective at relieving dysphagia in pts with fibrostenosis from EOE?

A

Esophageal dilation

40
Q

What results from spastic contraction of the circular muscle in the esophageal wall, and LES function is normal?

A

Corkscrew esophagus

41
Q

What causes African sleeping sickness?

Vector?

A

T. Brucei

Tsetse fly

42
Q

What group is at the greatest risk for Barrett Esophagus?

A

Obese white males older than 50

43
Q

Complications like esophagitis, stricture, Barrett’s and adenocarcinoma can result from what?

A

GERD

44
Q

What is a bad taste in your mouth called?

A

Walter Brash

45
Q

What is trichonisis?

What causes it?

A

Fever, myalgia, splinter hemorrhage

T. Spiralis

46
Q

What condition is associated with Anti-Scl-70 (Anti-topoisomerase I Ab)?

A

Scleroderma

47
Q

What has esophageal webs, iron-deficiency anemia, angular chelitis, glossitis, and koilonychia?

A

Plummer-Vinson syndrome

48
Q

Failure to respond to 4-8 weeks of PPI tx or frequent sx relapse after PPI discontinuation in GERD indicates what?

A

Endoscopy

49
Q

How do you diagnose eosinophilic esophagitis?

Would see what?

A

EGD

Multiple circular esophageal rings creating a corrugated appearance

GI 2 Final AH (7 decks)

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