Flashcards in GI Deck (192)
is a pouch in the mucous of the pharynx, just above the cricopharyngeal muscle
Symptoms of Zenkers diverticula?
Goal standard to dx Barretts?
Endoscopy with biopsy
Cell change of Barretts
Sqamous to columnar cells --causing adenocarcinoma
Tx of GERD?
1. antacids 2. H2 blockers (ranitidine) 3. PPIs (omeprazole) and Nissen
Infectious esophagitis --you should think?
findings on PE for infectious esophagitis?
Deep esophageal ulcers
Swallow esophageal ulcers
Esophageal motility disorder involving the smooth muscle layer of the esophagus and the lower esophageal sphincter (LES). It is characterized by incomplete LES relaxation, increased LES tone, and lack of peristalsis of the esophagus
gold standard test for Esophageal motility disorder
24 hour manometry and barium swallow
Medication for Esophageal motility disorder
CCB (nifedipine) and pro kinetics (metoclopramide) to help with emptying of the stomach in people with delayed stomach emptying.
main etiology of esophageal varies?
Portal HTN / cirrhosis
which has greater bleeding Mallory Weiss tear or Boeehaave's?
Boehaaves- is rupture of the esophagus. May have Hamman's sign=crunch of crepitus in the pericardium
#1 cause of esophageal strictures?
GERD, can also be infection or autoimmune
why does caffeine and smoking lead to GERD?
decreases esophageal tone
which would you not find in nephrotic syndrome Hematuria or Hyperlipidemia?
Ulcer that is worse right after eating
ulcer that is better after eating
gold standard to dx ulcers
endoscopy with biopsy
how do you eradicate h.pylori
triple antibiotic therapy
go to med for tx of ulcers
H2 blocker and PPI
at what age is pylori stenosis most common
4-6 week old baby
think pylori stenosis
the four f's of cholelithasis
fat, forty, female, fertile
good standard of imagining for gallbladder
If a patient has dermatitis herpetiform, they also have?
define anorexia nervosa?
15% decrease from their ideal body weight