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8 Cards in this Set
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- Back
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what is the gold standard for the diagnosis of GERD?
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There isn't one... mucosa sensitivity to acid, ph proble, histo, and clinical sx. The problem is that there isn't even a really good correlation with these sx.
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What can help evaluate the basal zone for reflux esophagitis?
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PAS stain.
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What can the cardiac mucosa look like with GERD?
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It can look inflammed.
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How many lymphocytes are too many in GERD?
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Usually more than 20 would be considered too many in GERD.
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What should you think when you see mucosal ulceration and erosion?
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Think about infectious etiology... although this can also be at the extreme end of GERD.Can order a PAS or GMB for fungal organisms.
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What can candida esophagitis lead to?
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This can lead you to strictures and intramural pseudodiverticulosis.
you can also have supervinfections. |
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Who gets HSV... what should you look for? What does it look like?
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healthy people can get it, but also think immunosuprressed
Ground glass nuclei with inclusions (eosinophilic, cowdry A) |
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Other than HSV, what else should you think of when you think viral esophagitis?
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Think CMV... you get course intracytolasmic granules, with prominent intranulcear eosinophliic inclusion.... somteimes the inclusions aren't as distinctive..
look for macrophages around the vascular space. |
