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12 Cards in this Set
- Front
- Back
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cafe au lait spots are a/w
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NF1
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px with repeated pneumonia in the same location
what is the next step |
CT scan of chest
("same location" = red flag for for cancer causing broncho obstruction) |
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what is the next step in a px with dysphagia
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barium swallow
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barium swallow showing corkscrew is a/w
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diffuse esophageal spasm
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barium swallow with birds beak is a/w
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achalasia
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Rx for diffuse esophageal spasm
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CCB (e.g. nifedipine)
Nitrates TCAs |
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Rx for achalasia
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dilation
botox injection myotomy |
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px with bad breathe, regurgitation of food eaten days ago
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zenkers diverticulum
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besides heart burn, what is the MC symptom of GERD
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persistant cough
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What is Barrett's Esophagus & why is it important
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esophageal epithelium has undergone "intestinal metaplasia": normally squamous epithelium --> columnar epithelium
Barrett's is a RF for adenocarcinoma |
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MC type of esophageal cancer in US
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adenocarcinoma
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Compare Mallory-Weiss syndrome to Boerhaave syndrome
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MALLORY-WEISS SYNDROME:
mucosal laceration/tear distal esophagus minor injury with some bleeding/hematemesis BOERHAAVE SYNDROME: perforation/rupture of distal esophagus life-threatening injury: lots of bleeding |
