GI Section 1: Luminal (Esophagus High Yield Trivia)

Question 1

Fold Thickening. May have smooth stricture at GE junction if severe

Answer 1

Esophagitis

Question 2

Buzzword; Reticulated Mucosal Pattern
Classically shown as Hiatal Hernia + High Stricture

Answer 2

Barrets

Question 3

Ulcers; Usually at the level of the arch or distal esophagus

Answer 3

Medication Induced Esophagitis

Question 4

Ulcers ; can be confluent in severe disease

Answer 4

Crohns Esophagitis

Question 5

Discrete plaque like lesions that are seen as linear or irregular filling defects that tend to be longitudinally oriented, separated by normal mucosa

Answer 5

Candida

Question 6

Buzzword: Shaggy - when severe

Answer 6

Candida

Question 7

Esophageal Candidiasis is not always from AIDS, but can also be from motily disorders such as?

Answer 7

Achalasia and scleroderma

Question 8

Looks like Candida, but in an asymptomatic old person

Answer 8

Glycogenic Acanthosis

Question 9

Multiple small, with Edema Halo

Answer 9

Herpes Ulcers

Question 10

Large Flat ulcers

Answer 10

CMV/AIDS Ulcers

Question 11

Esophageal involvement is rare (only in severe disease).
Buzzword is “Aphthous Ulcers” - discrete ulcers surrounded by mounds of edema

Answer 11

Crohn’s Ulcers

Crohn’s Esophagitis

Question 12

Buzzword: Bird Beak, - smooth stricture at GE junction

Answer 12

Achalasia

Question 13

Path is failure of LES to relax (but it will slowly relax)

Answer 13

Achalasia

Question 14

Increased risk of Squamous Cell CA, and Candida

Answer 14

Achalasia

Question 15

Cancer at the GE junction. Fixed Obstruction, will not relax

Answer 15

Pseudoachalasia

Question 16

Involves the Esophagus 80% o f the time

Answer 16

Scleroderma

Question 17

Looks a little like Achalasia (they will show you lung changes- NSIP)

Answer 17

Scleroderma

Question 18

Dilated submucosal glands, usually due to chronic reflux esophagitis.

Answer 18

Pseudodiverticulosis

Question 19

Esophageal stricture is seen in 90% of cases

Answer 19

Pseudodiverticulosis

Question 20

in the back (above cricopharyngeus)

Answer 20

Zenker Diverticula

Question 21

From the hypopharynx

Answer 21

Zenker Diverticula

Question 22

Lateral (below cricopharyngeus)

Answer 22

Killian-Jamieson

Question 23

From the cervical esophagus.

Answer 23

Killian-Jamieson