Term
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Definition
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Term
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Definition
| Inflamation, irration, or swelling of esophagus |
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Term
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Definition
| Gastroesophageal reflux disease/disorder |
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Term
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Definition
| burning chest pain, indigestion or heartburn due to acid reflux |
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Term
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Definition
| outer boarders have hazy jagged appearance; strictures have smooth outline with tapering ends |
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Term
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Definition
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Term
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Definition
| changes i ndiet wt loss meds such as zantac prilosec and nexium to decrease acid. do not lie down 3 hrs after eating, sleep with head elevated |
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Term
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Definition
| Hypersthenic body habitus, exsessive alcohol intake smoking |
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Term
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Definition
| Outpouching of one or more layers of the esophageal wall |
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Term
| 3 types of Esophageal Diverticula |
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Definition
| Traction(true), Pulsion(false), Epiphrenic |
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Term
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Definition
| Most common. Middle third of Esphagus. Can result in aspiration pneumonia. |
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Term
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Definition
| Caused by congenital weakness. Above the cardiac sphincter. Wide base and shaped like a funnel or triangle. Most common in mend over 40 |
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Term
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Definition
| Herniation arises from posterior wall of the upper esophagus. |
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Term
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Definition
| Occurs just above the diaphragm. most common in men over 40. Usually compresses distal 10 cm of esophagus. |
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Term
| Esophageal Diverticula DX |
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Definition
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Term
| Esophageal Diverticula TX |
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Definition
| No serious treatment. bland diet chew thoroughtly drink lots of water after eating |
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Term
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Definition
| Dilated veins in the wall of the distal esophagus |
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Term
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Definition
| Most common in pts with liver disease and alcoholics |
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Term
| Esophageal Varices Symptoms |
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Definition
| Bleeding first sign. black tarry stools free air in abdomen significant blood loss may be anemic very faint |
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Term
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Definition
| esophagram or edoscopy to locate site of hemorrhage |
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Term
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Definition
| vasoconstrictor drugs to constrict the dilated vessels. EX. vasopressin stops hemorrhage and prevent shock |
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Term
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Definition
| lucent tortous wave-like filling defects that deform the mucosal pattern so that the folds arent parallel |
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Term
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Definition
| veins enlarge and may rupture. |
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Term
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Definition
| Herniation or protrusion of stomach into the mediastinal cavity thru diaphragm |
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Term
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Definition
| fundus herniates through diaphragm |
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Term
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Definition
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Term
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Definition
| Direct (sliding) and Paraesophageal (rolling) |
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Term
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Definition
| fundus may slide thru diaphragm and slide back up due to pressure in abdomen. |
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Term
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Definition
| Fundus rolls thru diaphragm and stays there. |
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Term
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Definition
| heartburn and belching no symptoms |
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Term
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Definition
| Herniation of fundus thru diaphragm |
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Term
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Definition
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Term
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Definition
| none, can repair surgically eat 6 small meals instead of 3 large. do not lie down 3 hrs after eating, sleep with head elevated |
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Term
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Definition
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Term
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Definition
| Gastroesophageal sphicter fails to relax resulting in functional obstruction |
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Term
|
Definition
| dysphagia, feeling full in sternal region weight loss heartburn cough |
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Term
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Definition
| Smooth tapered narrowing of distal esophagus(rat tail or bird beak) narrowed area will only allow small amounts of barium to get thru. |
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Term
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Definition
| Esophagram, UGI, can do endoscopic balloon dilation, CXR can show widened mediastinum due to dilated esophagus. |
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Term
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Definition
| adalat, procardia, isosorbide, and nitroglycerin are used to relax the sphincter, sleep with head elevated. Injection of botulism toxin to paralyze lower sphincter. |
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Term
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Definition
| Inflamation of the stomach caused by irritants like alcohol corrosive agents and infection |
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Term
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Definition
| Changes the normal surface pattern of gastric mucosa |
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Term
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Definition
| Alcohol prolonged use of NSAIDS or infection with bacteria such as H. pylori. |
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Term
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Definition
| thickening of gastric folds |
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Term
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Definition
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Term
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Definition
| eliminate causative agent no alcohol meds such as zantac prilosec and nexium to decrease acid production andtbioics if H. Pylori is found |
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Term
| Peptic Ulcer Disease (PUD) |
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Definition
| Inflammation of the stomach and duodenum |
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Term
| Peptic Ulcer Disease (PUD) |
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Definition
| Most ulcers caused by H. pylori |
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Term
| 2 types of Peptic Ulcer Disease (PUD) |
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Definition
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Term
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Definition
| Type O blood, 95% found in duodenal bulb, can reoccur with scarring and fibrosis, looks like cloverleaf, usually benign |
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Term
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Definition
| Type A blood. found in lesser curvature, can reoccur as gastric carcinoma. Looks like ulcer collar. |
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Term
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Definition
| Type A blood. found in lesser curvature, can reoccur as gastric carcinoma. Looks like ulcer collar. |
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Term
| Peptic Ulcer Disease (PUD) symptoms |
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Definition
| indigestion burning pain when the stomach is empty nausea vomiting bleeding |
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Term
| Peptic Ulcer Disease (PUD) RA |
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Definition
| Duodenal Cloverleaf, Gastric Ulcer collar |
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Term
| Peptic Ulcer Disease (PUD)DX |
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Definition
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Term
| Peptic Ulcer Disease (PUD)TX |
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Definition
| antibiotics if h pylori is found. tagamet zantac axid pepcid reduce acid. prilosec prevacid aciphex and protonix more powerful. Carafate works by creating a protective coating to heal ulcer. |
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