GI Quiz 1 - Other disorders Flashcards
Describe Cricopharyngeal Incoordination?
Cricopharyngeus mm (UES) = uncoordinated -> Zenker’s diverticulum
What are some etiologies of Cricopharyngeal Incoordination?
Neuromuscular disorders
What are the SSx of Crico. Incoord.?
Choking, swallowing air, regurg. of fluid into nose, dysphagia w/solids
What are complications of Crico. Incoord.?
Repeated aspiration of material from diverticulum -> chronic lung dz (Tx surgical section of crico mm)
What type of population are more likely to get an infectious eso. disorder?
Pts w/impaired host defenses: HIV/AIDs, transplantation, alcoholics, diabetes, malnourished, CA
HSV & CMV -> AIDS/transplant pts
Candida Albicans -> anyone who’s immune deficient
What is the work-up for infectious eso. disorders?
Endoscopic visualization & culture
What are special SSx seen in Candida Albicans Infectious Eso. Disorder?
Odynophagia, Dysphagia, Oral thrush lesions
What is Mallory-Weiss Syndrome?
Non-penetrating mucosal laceration of distal eso. & prox. stomach from vomiting/retching/hiccough
What is the % of GI hemorrhages caused by M-W Syndrome? What’s the prognosis of M-W Syndrome?
5% of GI hemorrhage
Most spontaneously resolve
10% require surgery
What is a Hiatal Hernia?
Protrusion of stomach through diaphragmatic hiatus
What are the 2 types of Hiatal Hernias & which is most common?
Sliding: GE junction & portion of stomach above diaphragm (MOST COMMON)
Paraesophageal: GE junction in norm. location, portion of stomach adj. to Eso. in diaphragmatic hiatis
What are the typical SSx of a hiatal hernia?
Asymptomatic
Sliding -> chest pain
Paraesophageal -> incarcaerate & strangulate
What is the work-up of Hiatal Hernia & complication?
Barium Swallow
CXR - incidental finding of Lrg. hernia
Occult/Massive GI hemorrhage
