ESOPHAGEAL DISORDERS CRAM
(PANCE) EXAM |VERIFIED
Esophagitis - ACCURATE ANSWER✅✅inflammation or irritation of the
esophagus
GERD = MCC
other causes = infectious, eosinophilic, pill-induced, caustic
SX = odynophagia, dysphagia
DX = Endoscopy
Infectious esophagitis - ACCURATE ANSWER✅✅patient will almost always be
immunocompromised
Candida MCC
Candida esophagitis - ACCURATE ANSWER✅✅TX = fluconazole
CMV esophagitis - ACCURATE ANSWER✅✅TX = ganciclovir
"Gangs cause mostly violence" = Gangcivlovir treats CMV
HSV esophagitis TX - ACCURATE ANSWER✅✅Acyclovir
, Eosinophilic esophagitis - ACCURATE ANSWER✅✅accumulation of
eosinophils in the esophagus leads to inflammation and dysphagia
MC in children with atopic disease
Endoscopy shows "stacked circular rings" or "corrugated rings"
TX = inhaled corticosteroids without spacer
remove offending agent/food
Pill-induced esophagitis - ACCURATE ANSWER✅✅MC medications are
NSAIDs and bisphosphonates
endoscopy shows ulcerations of varying depth
TX = avoid recumbency 30-60 minutes after taking medication
Caustic esophagitis - ACCURATE ANSWER✅✅from ingestion of a
caustic/corrosive substance
Endoscopy - used to assess the extent of the damage
ALKALOTIC AGENTS cause even more damage than acidic agents
TX = supportive, fluids, pain control
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