MT A Bloque 1 Flashcards
Main inhibitory neurotransmitters in GI tract
VIP and nitric oxide
Most common cause of acute dysphagia
Food impaction
70 year old male patient presents acute dysphagia. Most common cause.
Meat food impaction
Most common cause of esophagic stenosis
Chronic reflux
A 70 year old patient presents oropharyngeal dysphagia, most probable cause.
Previous stroke
Male or female px, 30-60 years old reports dysphagia after sclerotherapy for varices. Most common disease
Acalasia
Px with history of chagas disease and gastric carcinoma presents gradual dysphagia that started with solids and followed by drinking, and presents thoracic pain
Secondary acalasia (Pseudoacalasia)
Gold standard for motility esophageal disorders
Esophagic manometry
Patient with difficulty swallowing is ordered a esophageal manometry, most common finding to be found
Birds peak
Patient 65 years old with difficulty swallowing of lower than 6m reports a weightloss of more than 10% in the last 3 months. Best approach.
Order endoscopy thinking of a mass
A patient not candidate for mechanic tx for acalasia is complaining of the symptoms. Most indicated treatment.
Pharmacologic: Botox, isosorbid nitrate VO, nifedipine.
White women presents corkscrew (rosary bed) in oesophagus after barium test for dysphagia for solids and liquids at the same time. Most probable disease and recommended treatment.
Distal/Difuse esophageal spasm
Pharmacologic treatment
A women aged 40 with rapid weightloss presents RUQ pain and fever. Suspected diagnosis
Acute cholecystitis
Female patient presents RUQ pain irradiating to right shoulder and back suggestive of acute cholecystitis. What will increase the pain?
Palpation
Murphy’s sign
Ingestion of fatty food 1 hr before
Patient with RUQ pain and fever presents crepytus in abdominal wall adjacent to gall bladder. Most probable type of cholecystitis.
Emphysematous cholecystitis
