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14 Cards in this Set
- Front
- Back
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Type I Hiatal Hernia
Tx? |
Sliding hiatal hernia
Tx GERD |
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Type II Hiatal Hernia
Tx? |
Herniation of stomach fundus through the diaphragm parallel to the esophagus
Tx SURGERY!! |
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Loss of esophageal motility & failure of lower esophageal sphincter (LES) relaxation
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Achalasia
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Dysphagia of both solids & liquids, weight loss, & repulsion of undigested foodstuffs that may produce a foul odor
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Achalasia
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How should achalasia be diagnosed?
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Barium Swallow
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What is seen on barium swallow for achalasia?
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Dilation of the proximal esophagus with subsequent narrowing of the distal esophagus, studies may also reveal esophageal diverticula
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What does manometry show for achalasia?
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Increased LES pressure & diffuse esophageal spasm
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What tx cures 80% of patients with achalasia?
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Endoscopic dilation of LES
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Proximal Diverticula
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Zenker's Diverticulum
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Dysphagia, regurgitation of solid foods, choking, left-sided neck mass, & bad breath
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Zenker's Diverticulum
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What is the most common esophageal cancer?
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Sqamous Cell Carcinoma
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What cancer is seen in patients with chronic reflux?
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Adenocarcinoma
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What kind of metaplasia is seen with Barrett's esophagus?
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Squamous to Columnar
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Barium Study demonstrates apple-core lesion
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Esophageal CA
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