Rubin's Esophagus Flashcards

1
Q

“connection between the esophagus and trachea”

A

Tracheoesophageal fistula

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2
Q

What is the most common variant of Tracheoesophageal fistula?

A

Proximal esophageal atresia with the distal esophagus arising from the trachea

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3
Q

What are the symptoms of Tracheoesophageal fistula?

A

vomiting, polyhydramnios, abdominal distention, aspiration

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4
Q

What is VATER syndrome?

A

Vertebral defects + anal atresia + Tracheoesophageal fistula + renal dysplasia

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5
Q

“replicate the normal anatomy of the affected bowel. esophagus is the 2nd most common site”

A

Cysts and duplications

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6
Q

“thin protrusion of esophageal mucosa, lined by normal epithelium”

A

Esophageal web

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7
Q

“cervical esophageal web + mucosal lesions of the mouth/ pharynx (beefy red tongue) + Fe deficiency anemia”

A

Plummer- Vinson (Patterson- Kelly) Syndrome

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8
Q

“esophageal web at the gastroesophageal junction that are usually symptomatic”

A

Schatzki rings

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9
Q

What type of dysfunction does esophageal diverticula reflect?

A

motor dysfunction

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10
Q

What is the difference between a false diverticula and a true diverticula?

A

False= sac with no musclar layer

True= contains all layers of the esophagus

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11
Q

“outpouching of pharyngeal mucosa through an acquired defect in the muscular wall (false diverticulum)”

A

Zenker diverticulum

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12
Q

Symptoms of Zenker?

A

Dysphagia, obstruction and hallitosis

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13
Q

“pouches in the middle of the esophagus that attach to mediastinal lymph nodes and are associated with TB lymphadenitis”

A

Traction diverticula

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14
Q

“True diverticulim located right above the diaphragm”

A

Epiphrenic diverticula

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15
Q

How does epiphrenic diverticula usually present?

A

Young people, with nocturnal regurgitation of fluid

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16
Q

What is odynophagia?

A

pain when swallowing

17
Q

“Disordered esophageal motility with inability to relax LES”

A

Achalasia

18
Q

What is the pathologic cause of achalasia?

A

damaged ganglion cells in the myenteric plexus

19
Q

Risk factors for achalasia?

A

Chagas disease, amyloidosis, sarcoidosis and infiltrative malignancies

20
Q

Sign for achalasia on barium swallowing study?

A

“bird beak”

21
Q

“herniation of the stomach through an enlarged diaphragmatic opening”

A

Hiatal hernia

22
Q

“reflux of acid from the stomach due to LES tone”

A

GERD

23
Q

What is the most common type of esophagitis?

A

GERD

24
Q

What are the risk factors for GERD?

A

Alcohol, tobacco, obesity, fat rich diet, caffeine, hiatal hernia

25
Q

What pathologic changes can be seen in GERD?

A

hyperema, hydropic change, ulcers, basal epithelium hyperplasia, elongated papillae, dilated vessels, inflammatory infiltrate, reactive fibrosis

26
Q

“metaplasia of the lower esphageal mucosa from stratefied squamous epithelium to nonciliated columnar epithelium with goblet cells”

A

Barrett Esophagus

27
Q

What can barrett esophagus progress to?

A

Dysplasia and adenocarcinoma

28
Q

“Allergic form of reflux esophagitis, characterized by trachealization”

A

Eosinophilic esophagitis

29
Q

Name 3 infective causes of infective esophagitis?

A

Candida, herpes, CMV

30
Q

Difference between strong base and strong acid chemical esophagitis?

A

Base= liquifactive necrosis

Acid= coagulative necrosis and formation of protective eschar

31
Q

“dilated submucosal veins in the lower esophagus”

A

Esophageal varices

32
Q

“longitudinal laceration of mucosa at the GE junction”

A

Mallory- Weiss Syndrome

33
Q

How does mallory weiss syndrome present?

A

painful hematopoiesis

34
Q

“esophageal rupture due to vomiting”

A

Boerhaave syndrome

35
Q

What are the two types of esophageal carcinoma? Which is more common in the US?

A

adenocarcinoma or SCC

adenocarcinoma is more common in the US (opposite for the world)

36
Q

Major risk factor for adenocarcinoma?

A

barrett esophagus