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Flashcards in GI Deck (192)
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1

Zenkers diverticula

is a pouch in the mucous of the pharynx, just above the cricopharyngeal muscle

2

Symptoms of Zenkers diverticula?

regurgitation

3

Odynophagia

painful swallowing

4

Goal standard to dx Barretts?

Endoscopy with biopsy

5

Cell change of Barretts

Sqamous to columnar cells --causing adenocarcinoma

6

Tx of GERD?

1. antacids 2. H2 blockers (ranitidine) 3. PPIs (omeprazole) and Nissen

7

Infectious esophagitis --you should think?

immunocompromised (HIV)

8

findings on PE for infectious esophagitis?

Ulcers

9

Deep esophageal ulcers

Herpes

10

Swallow esophageal ulcers

CMV

11

Esophageal achalasia

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

12

gold standard test for Esophageal motility disorder

24 hour manometry and barium swallow

13

Medication for Esophageal motility disorder

CCB (nifedipine) and pro kinetics (metoclopramide) to help with emptying of the stomach in people with delayed stomach emptying.

14

main etiology of esophageal varies?

Portal HTN / cirrhosis

15

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

16

#1 cause of esophageal strictures?

GERD, can also be infection or autoimmune

17

why does caffeine and smoking lead to GERD?

decreases esophageal tone

18

which would you not find in nephrotic syndrome Hematuria or Hyperlipidemia?

No Hematuria!!!

19

Ulcer that is worse right after eating

peptic

20

ulcer that is better after eating

duodenal

21

gold standard to dx ulcers

endoscopy with biopsy

22

how do you eradicate h.pylori

triple antibiotic therapy

23

go to med for tx of ulcers

H2 blocker and PPI

24

at what age is pylori stenosis most common

4-6 week old baby

25

string sign

think pylori stenosis

26

the four f's of cholelithasis

fat, forty, female, fertile

27

good standard of imagining for gallbladder

US

28

If a patient has dermatitis herpetiform, they also have?

celiac disease

29

define anorexia nervosa?

15% decrease from their ideal body weight

30

medical therapy for anorexia

antidepressants, mood stabilzers