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GI > GERD lecture > Flashcards

GERD lecture Flashcards

1
Q

Dysphagia factors due to inadequate preparation?

A

Reduced saliva
Neuromuscular disorders
Impaired mental function

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2
Q

Dysphagia factors due to abnormal muscle function?

A

Neuromuscular disorders

Motility disturbances

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3
Q

Dysphagia due to narrow passage way factors?

A

Mechanical obstruction

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4
Q

Symptoms of Oropharyngeal dysphagia?

A

Difficulty INITIATING swallowing

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5
Q

Symptoms of Esophageal dysphagia?

A

Food sticks after swallowing

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6
Q

Anatomical causes of dysphagia (4)?

A

Postcricoid Web
Cervical Osteophyte
Hypopharyngeal diverticulum
Tumors

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7
Q

Neurological causes of dysphagia?

A 
Trauma
Polio
ALS
Parkinsons
Cerebral Palsy
Tumors
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8
Q

Muscular causes of dysphagia?

A 
Dystrophy
Myotonic dystrophy
Myasthenia Gravis
Chaga's disease
Achalasia
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9
Q

TX from oropharyngeal dysphagia?

A

Speech/swallowing therapy
Esophageal dilation
Surgical myotomy
NPO with nutrition

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10
Q

Achalasia most commonly has dysphagia with which type of intake being worse?

A

Solids worse than liquids

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11
Q

What is needed to DX achalasia?

A

Manometry + Barium swallow

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12
Q

Causes of secondary achalasia?

A

Carcinoma

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13
Q

Dysphagia with ONLY solids and intermittent is likely due to:

A

Lower esophageal ring

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14
Q

Dysphagia with ONLY solids and progressive is likely due to:

A

Peptic stricture

Cancer

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15
Q

Dysphagia with solids and/or liquids and is intermittent is likely due to:

A

Diffuse Spasm
Non-specific Esophageal motility Disorder
Nutcracker

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16
Q

Dysphagia with solids and/or liquids and is progressive is likely due to:

A

Achalasia

Scleroderma

17
Q

When, where, and what changes heartburn due to GERD?

A

Substernal
Postprandial
Worse with movement
Relieved by antacids

18
Q

Atypical symptoms of GERD?

A 
Chest Pain
Hoarseness
Loss of enamel
Asthma
Dyspepsia
19
Q

2 ways that hiatal hernia contribute to GERD?

A

Decreased LES support

Reservoir for H+

20
Q

What is needed to DX GERD?

A

Symptoms only!

21
Q

Lifestyle modifications for GERD therapy?

A

Elevation in bed
No smoking
No food 3 hrs before bed
Decreased Fat

GI (3 decks)

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