Upper GI diseases

Question 1

What are some disease causes of aphthous mouth ulcers?

Answer 1

Bechets disease, coeliac disease, crohns disease

Question 2

What are some causes of oral candidiasis?

Answer 2

asthma inhalers, diabetes, immunosuppression, HIV, lymphoma

Question 3

What is orofacial granulomatosis?

Answer 3

Associated with IBD, rare condition, lip swelling and ulcers in the floor of the mouth and buccal mucosa

Question 4

What is hiatus hernia?

Answer 4

portion of the stomach passes into chest cavity, usually asymptomatic but can interfere with lower sphincter causing GORD

Question 5

What are medical treatments for GORD?

Answer 5

PPI treatment, H2RA such as famotidine, anti-reflux surgery

Question 6

What is barretts oesophagus?

Answer 6

Implicated by acid reflux. Cell changes in the lining of the oesophagus that can lead to cancer. Sometimes will regress with high dose PPI

Question 7

What is oesophageal strictures?

Answer 7

Luminal narrowing often causing dysphagia. Can be benign or malignant. Normally caused by reflux.

Question 8

What is the name of the condition where the oesophagus sphincter is completely tight and doesn’t allow liquid.

Answer 8

Achalasia

Question 9

What is the treatment of achalasia?

Answer 9

Botox, pneumatic dilation, helier’s cardiomyotomy

Question 10

What is the prognosis of oesophageal carcinoma?

Answer 10

Poor, often treated palliatively.

Question 11

What causes majority of chronic gastric ulcers?

Answer 11

H pylori