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Flashcards in GERD Deck (11)
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1
Q

What does odynophagia mean?

A

painful swallowing,difficultly initiation swallowing (upper problem) , due to muscoal injury,

2
Q

what does dysphagia mean?

A

fullness feeling, due to failure of moving bolus, , food sticks after walling initaiton (lower problem)

3
Q

Some causes of esphageal dysphagia?

A

anatomical-ring/web, cancer, nueromusclar-esphageal disease

4
Q

What do you see on studies of achalasia?

A

achalasia-solids and liquids, see birds beak

manometry- no relaxation of the LES

5
Q

Whats the best way to dx mucosal injury?

A

endoscopy/biopsy

6
Q

What can confirm GERD?

A

ambulatory pH monitoring

7
Q

What are lifestyle choices that can change GERD?

A

no food 3 hours before bed, stop smoking, modifty diet, OTC rx PRN

8
Q

What are some drugs that decrease LES pressure?

A

theophylline, anticholingeric, CCB. nitriates

9
Q

What are some meds that injure mucosa

A

TETRACYCLINE, quinidine, ASA/NSAIDS!, k tabletes, FE salts

10
Q

TX of GERD?

A

PPI-“PRazoles”, H2 blockers-“tidine”

11
Q

Barretts esophagus can lead to?

A

adenocarcinoma