GORD and Dysmotility (Diseases) Flashcards

1
Q

What does GORD stand for?

A
  • Gastro-oesophgeal Reflux Disorder
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2
Q

What are the 3 causes of GORD?

A
  • Incompetent Lower Oesophageal Sphincter (LOS)
  • Poor oesophageal clearance
  • barrier function/ visceral sensitivity
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3
Q

Symptoms of GORD?

A
  • Heartburn
  • acid reflux
  • weight loss
  • chest pain
  • coughing
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4
Q

What does ‘waterbrash’ mean?

A
  • sudden flow of saliva post-ingestion
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5
Q

Investigations for GORD?

A
  • Endoscopy
  • ba swallow (barium)
  • pH studies
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6
Q

Treatment of oesophageal carcinoma?

A
  • radiotherapy
  • surgery
  • palliation
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7
Q

Drugs used in GORD?

A
  • Antacids
  • H2 antagonists
  • Proton Pump Inhibitors
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8
Q

Name examples of PPI?

A
  • Proton Pump Inhibitors
  • lansprazole
  • omeprazole
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9
Q

What are the management techniques in Barretts oesophagus?

A
  • more frequent surviellence
  • optimise PPI dose
  • EMR
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10
Q

What does EMR stand for?

A
  • Endoscopic Mucosal Resection
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11
Q

What is Gastroparesis?

A
  • delayed gastric emptying

- no physical obstruction

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12
Q

What are the symptoms of gastroparesis?

A
  • feeling of fullness
  • nausea
  • vomitin
  • upper abdominal pain
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13
Q

Causes of gastroparesis?

A
  • idiopathic
  • diabetes mellitus
  • cannabis
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14
Q

Management of gastroparesis?

A
  • removal of precipating factors
  • liquid diet
  • eat little and often
  • gastric pacemaker
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15
Q

Define dyspepsia

A
  • indigestion
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16
Q

What are the symptoms of dyspepsia?

A
  • epigastric pain
  • post prandial fullness
  • early satiety
17
Q

What are the causes of dyspepsia?

A
  • peptic ulcers
  • drugs (NSAIDs)
  • gastric cancer
18
Q

What is the management of dyspepsia?

A
  • lifestyle
  • antacids
  • H.pylori test
19
Q

What are the symptoms of peptic ulcers?

A
  • pain to back
  • often nocturnal
  • aggravated/revlieved by eating
20
Q

Pain relieved by eating?

A
  • duodenal ulcer
21
Q

Pain made worse by eating?

A
  • gastric ulcer
22
Q

What are the cuases of dyspepsia?

A
  • h.pylori infection

- NSAIDs

23
Q

What is the treatment of peptic ulcers?

A
  • PPI

- H.pylori treament is appropriate