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60 Cards in this Set
- Front
- Back
3 natural const of esophagus |
left bronchi aortic arch diapghra |
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what's importan in evaluation of esop disordera |
clinical history |
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3 things will virtually alwas indicat primary esophageal disorder |
heartburn(pyrosis)
dysphagia
odonodsyphagia |
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a feeling of substeranl burning ofent radiat to the neck |
heartburn pyrois |
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this is highly specfic for gerd |
heartburn pyrosis |
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name the 2 types of dysphaigea |
orophaydn dysphagia and esopphage dysphagia |
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orophaydn dysphagia and esopphage dysphagia what' the differs |
orog dyphag transfer of bolus from orophar to ues |
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orophaydn dysphagia and esopphage dysphagia
coughin chokinr and regu immediat upto initaio of swallowing |
orophar dysp |
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orophaydn dysphagia and esopphage dysphagia
wiht transf of bluts anyweher thre eso |
esophg dysp |
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name 2 typs of esoph dysphagia |
mechanical obst motility disorders |
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esophy dysphagi mechanical obst motility disorders
which dysp of solids |
mechianic |
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esophy dysphagi mechanical obst motility disorders
which one dyspa for both solid and liqu |
motility |
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sharp substern pain on swalloing |
odynopaghia |
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oydnopaghis comomon from 2 things |
infection of esop corros injury |
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main thing about to gerd symptom 2ndary to acid refult |
tissue dmage |
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most immportant complication of gerd |
barrets esophagus |
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naem the 2 complications of barret |
metaplasia peptic structre |
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what happens in barrtet esopag |
metaplasia
epi to colum |
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barret what can it proceed to |
adenocarciona |
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so if 2ndary carcinom then and due to gerd |
adenocar |
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if primary carcind then |
scc |
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proximal extension with metaplasia kkk |
k |
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most peptic structres occur where? |
junction |
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what's happpen with peptic stu
result
what happens to heart burn |
it's scarring that narrow lumen
so you have dysphaige solid
reduces it |
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in patho of gerd
les pressure vs. gastro press |
les pressure lower than gasrci |
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what's that pressure les lower
less than |
-100 |
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esophage peristali is incre or lower |
lowererd |
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what is commonly assoicated with reflux |
hernia |
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damage depentd on 3 things of esop |
reflux epi acid streng contact time |
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most common symtpo of gerd |
heartburn |
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heartburn occurs how many mints after meal worst when
large or small mea ingestion of things like cafe and alc that lower les
|
30 to 60 recline large |
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hearburn stem from whihcon
acidit strent or damage to esophagus |
acid strength |
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dysphage for gerd will be seen in what scae |
barrets peptic strus |
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3 causitive agents for infection esophagti
whihc on most common |
candida herpes cmv |
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clinical finding of infectio esoph |
odynopagic dysphagia |
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shows diffes lena white to yellow plaques that are adherehnt to mucos |
candidial esoph |
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several large suprfical ulceration of the musca |
cmv esoph |
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multpile small DEEP ulceration of the mucosas |
herpes eosphagiats |
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with mallort weiss snydrome it's a tear of what |
esophag MUCosa only |
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caused by what |
any conditon that suddenly raise tranabdom pressure |
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3 commong things that can raise than abdom pressure |
vomting retchin alcholosm |
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mallory weis snydrome related to what thype of bleeing |
upper gi bleed |
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what kind of bleeing with malloery weis |
hemeateiss, sometimes with melana |
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describe esophage diverticula
location and weakest poitn |
out pocketins of musco into 3 layers
at inferiosn phar constri musc and criocopharyngeal mus |
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what clinical finding happens first with esop diver
followed by?
what's something you'll see allso |
dyphagia
reguraing
hallatois b/c food gets tuck in ther |
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esophageal varices is dilation of what part what's beeing dilated |
submucas veins into musco |
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esopahgea varices commonly problesm of |
portal hypertens via liver chirsio |
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is esophag varica a serious bleeding issue? |
yessssssssss |
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portal hyper tension pressure usally + |
12 so it's low |
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will varices cause symptoms like dyspagae dypseis a or vomitin or rethi |
nooooooooo, bc veins are thin and pressue of bolus will over power it |
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firs sign of esophagal varices?
type? |
spoina hemetaneiss
breight red or cofeee ground material |
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aclasia is loss of persitstalis hwere + what else(les?)
persistaltis loss is due to? name the 2 nervees |
2/3 distal(smooth)
les loosing relax abilitincreased pressure degner of 2 nerves
auber(myenit) and vagus |
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high incidence of this with achlaics |
scc primary |
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major complain of achlasia |
dysphagia |
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esopagae cancer early or late diangosi? |
late |
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name the 2 types of carcinoma for esoph |
scc
adenocarin |
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commonly seen what part of es |
1/3 esopan |
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this clinical finding seen most offten in esopag cancer
think about it |
dysphagice
then wiegh loss |
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lab finding non specici but may see this |
anemai of chronic occult blood |
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which one more common carcin |
adeno b/c barret common |