GERD

Question 1

What does odynophagia mean?

Answer 1

painful swallowing,difficultly initiation swallowing (upper problem) , due to muscoal injury,

Question 2

what does dysphagia mean?

Answer 2

fullness feeling, due to failure of moving bolus, , food sticks after walling initaiton (lower problem)

Question 3

Some causes of esphageal dysphagia?

Answer 3

anatomical-ring/web, cancer, nueromusclar-esphageal disease

Question 4

What do you see on studies of achalasia?

Answer 4

achalasia-solids and liquids, see birds beak

manometry- no relaxation of the LES

Question 5

Whats the best way to dx mucosal injury?

Answer 5

endoscopy/biopsy

Question 6

What can confirm GERD?

Answer 6

ambulatory pH monitoring

Question 7

What are lifestyle choices that can change GERD?

Answer 7

no food 3 hours before bed, stop smoking, modifty diet, OTC rx PRN

Question 8

What are some drugs that decrease LES pressure?

Answer 8

theophylline, anticholingeric, CCB. nitriates

Question 9

What are some meds that injure mucosa

Answer 9

TETRACYCLINE, quinidine, ASA/NSAIDS!, k tabletes, FE salts

Question 10

TX of GERD?

Answer 10

PPI-“PRazoles”, H2 blockers-“tidine”

Question 11

Barretts esophagus can lead to?

Answer 11

adenocarcinoma