Week 2 - Dysphagia in a middle aged woman

Question 1

What are the possible diagnoses?

Answer 1

Question 2

What do these blood tests reveal?

Answer 2

Question 3

Other than bloods which investigations should you do?

Answer 3

Question 4

What is this investigation and what does it show?

Answer 4

Question 5

What can you see on this gastroscopy?

Answer 5

Question 6

What is your management plan for this patient?
- 8 Lifestyle changes?

Answer 6

Question 7

GORD - Medical Therapy options?

Answer 7

Question 8

What is the likely pathological diagnosis? What is your management strategy now?

Answer 8

Question 9

What advice would you give the patient? What are the treatment options available to this patient?

Answer 9

Question 10

Discuss the surgical therapies for GORD.
- Indications?
- Fundoplication?

Answer 10

Question 11

Barrets Oesophagus
- Definition?
- Incidence?
- Risk Factors?
- Pathophysiology?

Answer 11

Question 12

Barrets Oesophagus
- Pathology?
- Complications?
- Management and surveillance?

Answer 12

Question 13

Definitions:
- Dysphagia?
- Oropharyngeal Dysphagia?
- Esophageal Dysphagia?
- Odynophagia?

Answer 13

Question 14

Answer 14

Question 15

Answer 15

Question 16

Answer 16

Question 17

Initial diagnostics:
Oropharyngeal dysphagia?
Esophageal dysphagia?

Answer 17

Initial diagnostics
Oropharyngeal dysphagia: modified barium swallow
Esophageal dysphagia: Esophagogastroduodenoscopy

Question 18

Answer 18

Question 19

Answer 19

Question 20

Answer 20

Question 21

Answer 21

Question 22

List indications for upper gastrointestinal endoscopy in patients with symptoms suspected to be due to gastro-oesophageal reflux.

Answer 22

Question 23

Discuss the diet and lifestyle modification for the management of gastro-oesophageal reflux in adults.

Answer 23

Question 24

Discuss the pharmacological management of mild intermittent symptoms of gastro-oesophageal reflux in adults.

Answer 24

Question 25

What are some of the Extra-oesophageal symptoms of GORD?

Answer 25

Extra-oesophageal symptoms of GORD may include dental, respiratory (eg chronic cough), pharyngeal or laryngeal symptoms, noncardiac chest pain and sleep disturbance. Because these symptoms are nonspecific and GORD is common, they are often assumed to be due to GORD; however, in many patients they are likely to be due to other causes (particularly when typical symptoms of GORD are absent).