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16 Cards in this Set

  • Front
  • Back

What are the most common causes of dysphagia?

1) Cerebral Vascular Accident (CVA)


2) Neurologic


3) Head and Neck Cancer

What are the signs and symptoms of esophageal CA?

#1 Dysphagia


Wt. Loss


Bleeding


Epigastric or Retrosternal Pain


Bone pain with metastatic disease


Hoarseness


Persistent Cough

What is the #1 cause for GERD?

Translower esophageal sphincter relaxation (TLESR)

What are the key presenting symptoms of GERD?

Heartburn, Dysphagia, Odynophagia, CP, adn Globus

What is globus?

Sensation of fullness in the throat



What is odynophagia?

Painful swallowing

What is the first line medication classification for treating GERD?

PPI

What are key physical exam findings when assessing for GERD?

Dental Erosion


Halitosis


Weight Loss


Obesity


Scleroderma


Wheezes


Epigastric Tenderness


Heme+Stool

How long should a patient be on a PPI for treatment of GERD before referring for endoscopy?

8 weeks

First line treatment for GERD?

Diet and lifestyle modifications (antacids)

What does BISAP scoring stand for?




•Blood ureanitrogen > 25 mg/dL


•Impaired mentalstatus


•Presence of SIRS


•Age > 60


•Presence ofpleural effusion on imaging





A BISAP score ____ or greater indicated increased risk of complications from _______.

• Score 3 or greater indicates increased risk of complications from acute pancreatitis



When should the BISAP score be used?

Within the first 24 hours of presenting symptoms

How many stages are there in treating constipation?

7

Phase 1 management for constipation

Lifestyle Changes

Phase 2 Management for Constipation