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60 Cards in this Set

  • Front
  • Back

3 natural const of esophagus

left bronchi


aortic arch


diapghra

what's importan in evaluation of esop disordera

clinical history

3 things will virtually alwas indicat primary esophageal disorder

heartburn(pyrosis)



dysphagia



odonodsyphagia

a feeling of substeranl burning ofent radiat to the neck

heartburn pyrois

this is highly specfic for gerd

heartburn pyrosis

name the 2 types of dysphaigea

orophaydn dysphagia and esopphage dysphagia

orophaydn dysphagia and esopphage dysphagia


what' the differs

orog dyphag transfer of bolus from orophar to ues

orophaydn dysphagia and esopphage dysphagia



coughin chokinr and regu immediat upto initaio of swallowing

orophar dysp

orophaydn dysphagia and esopphage dysphagia



wiht transf of bluts anyweher thre eso

esophg dysp

name 2 typs of esoph dysphagia

mechanical obst


motility disorders

esophy dysphagi


mechanical obst


motility disorders



which dysp of solids

mechianic

esophy dysphagi


mechanical obst


motility disorders



which one dyspa for both solid and liqu

motility

sharp substern pain on swalloing

odynopaghia

oydnopaghis comomon from 2 things

infection of esop


corros injury

main thing about to gerd symptom 2ndary to acid refult

tissue dmage

most immportant complication of gerd

barrets esophagus

naem the 2 complications of barret

metaplasia


peptic structre

what happens in barrtet esopag

metaplasia



epi to colum

barret what can it proceed to

adenocarciona

so if 2ndary carcinom then


and due to gerd

adenocar

if primary carcind then

scc

proximal extension with metaplasia kkk

k

most peptic structres occur where?

junction

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

in patho of gerd



les pressure vs. gastro press

les pressure lower than gasrci

what's that pressure les lower



less than

-100

esophage peristali is incre or lower

lowererd

what is commonly assoicated with reflux

hernia

damage depentd on 3 things of esop

reflux epi


acid streng


contact time

most common symtpo of gerd

heartburn

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

hearburn stem from whihcon



acidit strent or damage to esophagus

acid strength

dysphage for gerd will be seen in what scae

barrets peptic strus

3 causitive agents for infection esophagti



whihc on most common

candida


herpes


cmv

clinical finding of infectio esoph

odynopagic


dysphagia

shows diffes lena white to yellow plaques that are adherehnt to mucos

candidial esoph

several large suprfical ulceration of the musca

cmv esoph

multpile small DEEP ulceration of the mucosas

herpes eosphagiats

with mallort weiss snydrome it's a tear of what

esophag MUCosa only

caused by what

any conditon that suddenly raise tranabdom pressure

3 commong things that can raise than abdom pressure

vomting


retchin


alcholosm

mallory weis snydrome related to what thype of bleeing

upper gi bleed

what kind of bleeing with malloery weis

hemeateiss, sometimes with melana

describe esophage diverticula



location and weakest poitn

out pocketins of musco into 3 layers



at inferiosn phar constri musc and criocopharyngeal mus

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

esophageal varices is dilation of what part


what's beeing dilated

submucas veins into musco

esopahgea varices commonly problesm of

portal hypertens via liver chirsio

is esophag varica a serious bleeding issue?

yessssssssss

portal hyper tension pressure usally +

12 so it's low

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

firs sign of esophagal varices?



type?

spoina hemetaneiss



breight red or cofeee ground material

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

high incidence of this with achlaics

scc


primary

major complain of achlasia

dysphagia

esopagae cancer early or late diangosi?

late

name the 2 types of carcinoma for esoph

scc



adenocarin

commonly seen what part of es

1/3 esopan

this clinical finding seen most offten in esopag cancer



think about it

dysphagice



then wiegh loss

lab finding non specici but may see this

anemai of chronic occult blood

which one more common carcin

adeno b/c barret common