GI - 3 Esophagus pt 3

Question 1

Longitudinal ulcers in esophagus is a sign of:

Answer 1

CMV esophagitis

Question 2

Signs and symptoms of Infectious Esophagitis (4)

Answer 2

Dysphagia, Odynophapgia, Substernal cp (chest pain), Oral thrush with/without herpes

Question 3

How is infectious esophagitis diagnosed?

Answer 3

Upper endoscopy with bx (biopsy)

Question 4

What treats Candida?

Answer 4

Fluconazole

Question 5

What treats Herpes? (2)

Answer 5

Acyclovir, Famciclovir

Question 6

What is Pill Induced Esophagitis?

Answer 6

Pills such as Iron, Vitamin C, antibiotics cause erosions to the esophagus if there is direct-prolonged mucosal contact.

Question 7

3 Symptoms of Pill-induced Esophagitis

Answer 7

Severe retrosternal cp
Odynophagia
Dysphagia
(several hours after pill)

Question 8

Treatment for Pill-induced esophagitis:

Answer 8

Remove offending agent, drink water, remain upright, and use PPI

Question 9

What is caustic injury? 6 symptoms

Answer 9

Ingesting Alkali or acid (drain cleaners). Immediate severe burning, chest pain, gagging, drooling, dysphagia.

Question 10

quick treatment for caustic injury: (2 things)

Answer 10

IV Fluids, Pain Meds - NPO (not by mouth)

Question 11

What is stricture? What’s the med for it?

Answer 11

Recurrent dilatation. Triamcinolone.

Question 12

Nonpenetrating mucosal tear at GE junction from retching, lifting, vomiting

Answer 12

Mallory-Weiss Syndrome

Question 13

What is Mallory-Weiss Syndrome?

Answer 13

Nonpenetrating mucosal tear at GE junction from retching, lifting, vomiting

Question 14

Signs/symptoms of Mallory-Weiss Syndrome

Answer 14

Hematemesis (blood in vomit)

Question 15

How do you diagnose Mallory-Weiss Syndrome?

Answer 15

Endoscopy discovers .5-4cm mucosal tear at GE junction or in Gastric mucosa

Question 16

Where are esophageal webs found?

Answer 16

Squamous mucosa in mid-upper esophagus

Question 17

Plummer-Vincent Syndrome has what triad of symptoms? Who does it mainly infect?

Answer 17

Esophageal webs, dysphagia, iron deficiency anemia. common in newborns.

Question 18

What are Schatzki Rings?

Answer 18

Thin, circumferential mucosal structures in DISTAL esophagus. more associated with reflux.

Question 19

Where are esophageal webs found? Schatzki rings?

Answer 19

Esophageal webs: mid-upper esophagus

Schatzki rings: Distal esophagus

Question 20

What is Zenker’s Diverticulum?

Answer 20

Protrusion of pharyngeal mucosa at the paryngeoesophageal junction

Question 21

Protrusion of pharyngeal mucosa at the paryngeoesophageal junction

Answer 21

Zenker’s Diverticulum

Question 22

Symptoms of Zenker’s Diverticulum (7)

Answer 22

Oropharyngeal dysphagia, coughing, bad breath, regurgitation of undigested food, nocturnal choking, gurgling in throat, protrusion in neck

Question 23

What test will diagnose Zenker’s Diverticulum?

Answer 23

Barium Esophagram

Question 24

What are esophageal varices?

Answer 24

Dilated submucosal veins due to portal hypertension