GORD and Dysmotility (Diseases) Flashcards
1
Q
What does GORD stand for?
A
- Gastro-oesophgeal Reflux Disorder
2
Q
What are the 3 causes of GORD?
A
- Incompetent Lower Oesophageal Sphincter (LOS)
- Poor oesophageal clearance
- barrier function/ visceral sensitivity
3
Q
Symptoms of GORD?
A
- Heartburn
- acid reflux
- weight loss
- chest pain
- coughing
4
Q
What does ‘waterbrash’ mean?
A
- sudden flow of saliva post-ingestion
5
Q
Investigations for GORD?
A
- Endoscopy
- ba swallow (barium)
- pH studies
6
Q
Treatment of oesophageal carcinoma?
A
- radiotherapy
- surgery
- palliation
7
Q
Drugs used in GORD?
A
- Antacids
- H2 antagonists
- Proton Pump Inhibitors
8
Q
Name examples of PPI?
A
- Proton Pump Inhibitors
- lansprazole
- omeprazole
9
Q
What are the management techniques in Barretts oesophagus?
A
- more frequent surviellence
- optimise PPI dose
- EMR
10
Q
What does EMR stand for?
A
- Endoscopic Mucosal Resection
11
Q
What is Gastroparesis?
A
- delayed gastric emptying
- no physical obstruction
12
Q
What are the symptoms of gastroparesis?
A
- feeling of fullness
- nausea
- vomitin
- upper abdominal pain
13
Q
Causes of gastroparesis?
A
- idiopathic
- diabetes mellitus
- cannabis
14
Q
Management of gastroparesis?
A
- removal of precipating factors
- liquid diet
- eat little and often
- gastric pacemaker
15
Q
Define dyspepsia
A
- indigestion
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
