Term
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Definition
| Glossitis, chelosis, Esophageal webs, Fe def anemia. Inc risk of Squamous cell CA |
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Term
| Esophageal webs has inc risk of what CA? |
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Definition
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Term
| RF: GERD, chronic GVHD, Blistering skin dz |
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Definition
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Term
| RF/Assoc: GERD , Scleroderma |
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Definition
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Term
| RF/Assoc: DM autonomic neuropathy, infiltrative dz, Chagas Dz, DMN lesion |
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Definition
Achalasia Inc risk of Squamous cell CA |
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Term
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Definition
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Term
| Bird's beak on barium swallow |
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Definition
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Term
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Definition
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Term
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Definition
| Esophageal laceration (Mallory/Weiss); Esophaheal rupture (Boerhaave's s/o) |
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Term
RF: long standing HRN or cirrhosis. In US MC is ETOH, World wide is schistosomiasis |
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Definition
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Term
| Esophgeal rupture can have what complications? |
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Definition
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Term
| What esophageal thing can mimic chest pain? |
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Definition
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Term
| What lowers the LES tone to inc risk of GERD? |
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Definition
| ETOH, tobacco, obesity, preg, hernias, CNS depressants, delayed emptying of stomach |
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Term
| What esophagus stuff can cause massive hemorrhage? |
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Definition
| Esophagus rupture & Esophageal varices ruptue |
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Term
| Zenker VS Traction VS Epihrenic |
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Definition
| Zenker is closest to the top of the esophagus, Epiphrenic closet to the bottom. Traction somewhere in the middle |
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Term
| GERD significant dz micro stuff |
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Definition
Cells: PMN, lymphocytes, Eo See basal zone hyperplasia, elongation of the laminai propria papillae |
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Term
| On Micro see columnar epithelium w/ goblet cells in the esophagus. What is this and what did the pt previously have. Inc risk of what? |
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Definition
| Barret's esophagus. Had GERD. Inc risk of Adenocarcinoma. |
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Term
| Endoscopic see velvety pink mucosa above GE jxn |
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Definition
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Term
| Someone has odonyphagia what two categories are you thinking? |
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Definition
| Infectious or chemical esophagitis |
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Term
RF for infectious RF for chemical |
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Definition
Infectious: Immunocompromised, debilitated Chemical: ETOH, smoking, corrosive acids/alkali, v hot fluids, radiation, pill induced |
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Term
| In esophagus and see punches out ulcers w/ nuclear inclusions, degenerating epithelial cells @ margin |
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Definition
| HSV infectious esophagitis |
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Term
| In esophagus and see shallow ulcers, nuclear & cyto inclusions |
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Definition
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Term
| At strictures see ulceration and superficial necrosis, what causes this? |
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Definition
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Term
| GERD, tobacco, radiation, obesity inc risk of what CA? |
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Definition
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Term
| See mass in lower part of esophagous what CA is it? In the middle 1/3? |
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Definition
| Adenocarcinoma near the bottom, middle 1/3 is squamous cell carcinoma |
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Term
| What are the major RF for squamous cell CA? |
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Definition
| Smoking or heavy ETOH use. |
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Term
| Endoscopic see someone with grey white membrane in esophagus. What should you think of? |
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Definition
Infectious esophagitis (Canidia)- odonophagia Squamous cell CA- progressive dysphagis |
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Term
| Malignant gland forming cells |
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Definition
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Term
| Other RF for squamous cell CA |
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Definition
| same as chemical esophaitis + plummer vinson & Achalsia |
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