Flashcard Set Preview
| Side A | Side B | ||
| 1 |
Barret's esophagus: intestinal metaplasia
|
squamous --> columnar
|
|
| 2 |
How do you know it's Barrett's on endoscopy?
|
intestinal epithelium above the Z line
red mucosa above the Z line
|
|
| 3 |
What is the Z line?
|
GE junction
|
|
| 4 |
How do you tell hiatal hernia on endoscopy?
|
You can always see the diaphragm. There are stomach gastric folds above the diaphragm
|
|
| 5 |
Muscle of esophagus
|
upper 1/3: skeletal
lower 2/3: smooth
|
|
| 6 |
Difficulty swallowing
|
Dysphagia
|
|
| 7 |
Painful swallowing
|
Odynophagia
|
|
| 8 |
Transfer dysphagia
|
trouble getting foods into esophagus
|
|
| 9 |
Intermittent dysphagia is probably
|
Esophageal ring--probably Schatzki ring
|
|
| 10 |
Pt has dysphagia. What next?
|
Upper endoscopy
|
|
| 11 |
Pressure change increases in all areas of bolus except
|
LES
|
|
| 12 |
Pt regurgitates food at night.
General dx?
|
Esophageal motility disorder
|
|
| 13 |
Pt has loss of ganglionic cells in esophagus
|
Achalasia
|
|
| 14 |
Barium liquid shows squiggly lines.
|
Diffuse esophageal spasms--no coordination of peristalsis
|
|
| 15 |
Tx for achalasia / diffuse esophageal spasm.
|
Myotomy (cut LES) with stomach tying around LES
Or botox or balloon
|
|
| 16 |
Scleroderma produces what esoph prob?
|
LES hypotension
Weak contractions
?????
|
|
| 17 |
Eosinophils in esophagus with rings and strictures. Dysphagia to solids.
Dx?
Tx?
|
Eosinophilic esophagitis
Steroids
|
No comments yet! Be the first to add a comment below!
Please login to post comments.
After login, we will forward you back to this flashcard.