GI - Esophagus

Question 0

Typical Achalasia patient - age? Dysphagia with what types of food? Drug use?

Answer 0

#Under 50 
#dysphasia to both solids and liquids
#No history of alcohol or tobacco use

Question 1

Dysphasia versus odynophagia?

Answer 1

Difficulty swallowing versus pain with swallowing

Question 2

Suspect achalasia – most accurate test? When to do EGD?

Answer 2

Manometry; exclude malignancy

Question 3

Only esophageal disorders that can be diagnosed with EGD?

Answer 3

Cancer and Barrett’s esophagus

Question 4

Typical esophageal cancer patient - age? Symptoms? Drug use? PMHx?

Answer 4

#Older than 50
#dysphagia FIRST for solids THEN for liquids
#Alcohol and tobacco use
#History of GERD

Question 5

Esophageal cancer – best initial test? Most accurate test?

Use of other tests?

Answer 5

Barium (maybe); endoscopy

#CT/MRI for extent of spread
#PET to determine if resectable

Question 6

Treatment for esophageal cancer?

Answer 6

#Resection for a cure
#Chemoradiation post resection
#Stent for palliation

Question 7

Unique history for diffuse esophageal spasm and nutcracker esophagus?

Most accurate test?

Treatment?

Answer 7

Precipitated by drinking cold liquids

Manometry

Calcium channel blocker (like Prinzmetal angina)

Question 8

Most common Infectious esophagitis in AIDS patient? Treatment?

Other possible etiologies?

Answer 8

Esophageal candidiasis; Oral fluconazole

CMV and herpes

Question 9

Meds that cause esophagitis?

Answer 9

#Doxycycline
#Alendronate
#KCl

Question 10

Schatzki rings – Due to? Associated with? Location? Treatment?

Answer 10

Acid reflux; hiatal hernia; distal esophagus

Pneumatic dilation

Question 11

Plummer-Vinson syndrome? Treatment?

Answer 11

#Proximal web
#Iron deficiency anemia

Fe

Question 12

Test to diagnose Zenker diverticulum?

Answer 12

Barium swallow

Question 13

Manometry finding in scleroderma? Management?

Answer 13

Decrease tone and ability to close LES

PPI

Question 14

Use manometry for these diseases?

Answer 14

# achalasia
#Esophageal spasm
#Scleroderma

Question 15

Most common cause of epigastric pain?

Answer 15

Non-ulcer dyspepsia (50-90%)

Question 16

Epigastric pain with bloating in a diabetic - diagnosis?

Answer 16

Gastroparesis

Question 17

Avoid these foods with GERD?

Answer 17

#Alcohol
#Nicotine
#caffeine
#Chocolate 
#peppermint

Question 18

Endoscopy for GERD if?

Answer 18

#Dysphasia/odynophagia 
#weight loss 
#anemia/guaiac positive
#5-10 years (excluded Barrett)