GI - 3 Esophagus pt 1

Question 1

Heartburn, Dysphagia, and Odynophagia are symptoms of:

Answer 1

an Esophageal disorder (vague)

Question 2

What are the 3 vague symptoms of an Esophageal disorder?

Answer 2

Heartburn, Dysphagia, Odynophagia

Question 3

What should be ruled out before thinking a patient has an esophageal disorder?

Answer 3

A heart attack, b/c of the heartburn

Question 4

Difficulty transferring material (food) from the oropharynx to the esophagus is called

Answer 4

Oropharyngeal dysphagia

Question 5

What is Oropharyngeal dysphagia?

Answer 5

Difficulty transferring food from oropharynx to esophagus

Question 6

Sensation of bolus in neck, cough, choke, and repetitive swallowing is:

Answer 6

Oropharyngeal dysphagia

Question 7

What will a patient with Oropharyngeal dysphagia complain of? (4)

Answer 7

Sense of bolus in neck, cough, choke, repetitive swallowing

Question 8

Anticholinergics may do what?

Answer 8

Slow down the salivary tract, and patients have odynopharyngeal dysphagia

Question 9

4 examples of a Mechanical obstruction that causes Esophageal Dysphagia

Answer 9

Schatzki ring, stricture, Ca, esophagitis

Question 10

3 examples of motility disorders that cause esophageal dysphagia:

Answer 10

Achalasia, diffuse esophgeal spasm, scleroderma

Question 11

Difficulty with solids and liquids, episodic, unpredictable:

Answer 11

Motility disorders (Achalasia, diffuse esophgeal spasm, scleroderma)

Question 12

Diffulty with only solids (no liquids), progressive, predictable:

Answer 12

Mechanical obstruction (Schatzki ring, stricture, Ca, esophagitis)

Question 13

What is odynophagia?

Answer 13

Painful swallowing

Question 14

Name 2 categories that cause Odynophagia:

Answer 14

Erosive disorders and Corrosive injury

Question 15

Name the 3 Erosive disorders that cause Odynophagia

Answer 15

Candida, herpes virus, or CMV (cytomegalovirus)

Question 16

What’s the test/study of choice for the esophagus? Why?

Answer 16

Upper endoscopy. It allows direct visualization, biopsy, and dilation of strictures. It is diagnostic as well as therapeutic

Question 17

What is the best test to evaluate oropharyngeal dysphagia?

Answer 17

Video esophagraphy

Question 18

What differentiates between mechanical lesions and motility disorders?

Answer 18

Barium esophagram

Question 19

What’s unique about doing a Barium Esophagram?

Answer 19

It differentiates between mechanical and motility disorders.

Question 20

If an unfamiliar patient complains of painful swallowing, which test should be done first? second?

Answer 20

1. Barium Esophagram

2. EGD