GI Flashcards
3 medications that affect your teeth
antidepressants
anti-inflammatory
diuretics
poor dentation puts you at risk for _____ _____ _____
mitral valve prolapse
bacteria in the dental pulp that spreads to the gums
periapical abscess
diets high in _____ can cause periapical abscesses
sugar
risk factor for periapical abscess
dental carries
inflamed or sore mouth
stomatitis
3 things in magic mouthwash for stomatitis
benadryl
Maalox
Viscous lidocaine
swish and swallow medication for stomatitis
nystatin (mycostatin)
medication for stomatitis if it is viral
acyclovir
with stomatitis do not use ______ mouth swabs
chlorhexidine
with stomatitis do not use mouthwash with _______
alcohol
4 causes of TMJ
stress
trauma
dislocation
arthritis
3 common side effects with TMJ
headaches
dizziness
hearing problems
2 types of medication taken for TMJ
muscle relaxers
anti-inflammatory
salivary gland inflammation
sialidenitis
_____ _____ can block the salivary glands and cause sialadenitis
salvatory stones
if sialadenitis goes untreated an abscess can spread to the ____ and _____
neck and mediastinum
substances that trigger saliva flow like hard candy or lemon juice
sialagogues
xerostomia
dry mouth
esophageal tumors are often mistaken for ______
reflux
esophageal tumors usually affect the ____ 2/3 of the esophagus
lower
painful swallowing
odynophagia
alcohol causes vasodilation in the esophagus which can lead to esophageal ______
varicies
surgery done to remove cancer or tumors in the lymph nodes, mouth, tongue, or other areas of the throat or mouth
radial neck dissection
nerve that controls lower lip movement
marginal nerve
nerve that aids in shoulder motility and raising the arms over the head
spinal accessory nerve
nerve that controls movement of the tongue
hypoglossal nerve
nerve that controls the sensation of the tongue
lingual nerve
nerve that controls that movement of one vocal cord
vagus nerve
4 things removed in a total radial neck dissection
cervical lymph nodes
sternocleidomastoid muscle
internal jugular vein
spinal accessory muscle
total radial neck dissection is most common for ______ _____
esophageal cancer
a modified radial neck dissection is when the ______ is left in place
muscle
a selective radial neck dissection is when fewer ______ ____ are removed
lymph nodes
priority post-op with radial neck dissection
airway
there may be permanent numbness in the _____ and _____ after radial neck dissection
ear and neck
absent or ineffective peristalsis of the distal esophagus as well as the failure of the esophageal sphincter to relax upon swallowing
achalasia
achalasia can be caused by _____ being stuck in the throat and dissolving
pills
3 symptoms of achalasia
dysphagia
regurgitation
heartburn
with achalasia, the patient should eat slowly and with _____
water
intermittent tightening of the esophagus
esophageal spasm
esophageal spasms can often mimic _____ pain
heart
2 types of esophageal spasms
diffuse esophageal spasm
nutcracker esophagus
5 medications to take for esophageal spasms
CCB
smooth muscle relaxers
anticholinergics
TCAs
PPI
most common type of hiatal hernia
sliding
avoid _______ drugs with hiatal hernias
anticholinergic
2 things that diagnose hiatal hernia
CT scan
endoscopy
surgical procedure that fixes hiatal hernia
fundoplication
after fundoplication the patient cannot ________ because it will put pressure on what was fixed
vomit
outpouching in the esophageal wall forming small sacs from herniation
esophageal diverticula
_______ sign is heard with Boerhaave’s syndrome which is SQ crackling caused by emphysema
Hamman’s
triad of symptoms for Boerhaave’s syndrome
SQ emphysema
bright red vomit
chest pain
procedure done to repair hole from Boerhaave’s syndrome
vacuum assisted thoracotomy (VATS)
2 medications given with a swallowed foreign body because it relaxes the sphincter to allow it to pass into the stomach
glucagon
CCB
the best place the retrieve a swallowed foreign body
stomach