GI – Esophagus Flashcards
1
Q
Diagnose oropharyngeal dysphagia with which test? Management?
A
Barium swallow (videofluoroscopy)
Dietary adjustments and swallowing exercises
2
Q
Most appropriate test for esophageal dysphasia?
A
Endoscopy
3
Q
Patient presents with difficulty initiating swallowing and:
- Degenerative joint disease
- Iron deficiency
- Aspiration and halitosis
- Anterior midline neck mass
Suspected diagnoses?
A
- Cervical osteophytes
- Cricoid webs
- Zenker diverticulum
- Thyromegaly
4
Q
Patient presents with difficulty initiating swallowing and:
- Upper and lower motor neuron signs
- Focal neurologic deficits
- gradual progression of muscle weakness over years
- Weakness with repetitive activity
- Optic neuritis
- Dry mouth and eyes
A
- ALS
- Stroke
- Muscular dystrophy
- Myasthenia gravis
- Multiple sclerosis
- Sjogren’s syndrome
5
Q
Patient presents with difficulty swallowing, with the sensation of food getting stuck in the lower sternum and:
- Extrinsic vascular compression of the esophagus on imaging
- Outpouching of the esophagus
- Intermittent dysphasia of solid food
- history of atopy
- Chest pain
- Raynaud’s
Suspected diagnoses?
A
- Dysphasia lusoria (vascular dysphasia)
- Epiphrenic/traction diverticulum
- Esophageal stricture or
- Eosinophilic esophagitis
- Diffuse esophageal spasm
- Scleroderma
6
Q
Most common causes of odynophagia?
A
#Caustic ingestions #Candida #HSV, CMV #Pill-Induced damage (#Rarely GERD or esophageal cancer)
7
Q
Globus? Management?
A
Sensation of a lump in the throat (not in the setting of a dysphasia for odynophagia)
- Barium swallow or endoscopy to rule out pharyngeal lesion
- If negative, PPI or CBT
8
Q
P3
A
P3
9
Q
Two main categories for etiologies of dysphasia? How to distinguish between them?
A
#Oropharyngeal (Unable to initiate swallowing process - coughing, choking, nasal regurgitation) #esophageal (Discomfort to the lower sternum)
