This causes oropharyngeal dysphagia and is associated with dry mouth and dry eyes?
What is Sjogrens
100
This is associated with chest pain?
What is Diffuse esophageal spasm
100
First test for suspected esophageal dysphagia?
What is EGD
100
This is the recommended treatment for pill esophagitis
Take with lots of water and don't lie down for at least 30min after taking medication
100
These are alarm features that should prompt an EGD in a patient with GERD symptoms
What are dysphagia, unintentional weight loss, hematemesis, or melena
200
This causes oropharnygeal dysphagia and is associated with upper and lower motor neuron signs and fasciculations
What is ALS
200
This causes intermittent dysphagia, especially for solids food, in patients with a history of reflux?
What is Esophageal strictures
200
First test of choice in somebody with oropharyngeal dysphagia?
What is videofluoroscopy (MBS)
200
This is the main therapy for achalasia?
What is endoscopic dilation
200
This cancer is associated with achalasia
What is squamous cell cancer of the esophagus
300
This causes oropharyngeal dysphagia and is associated with aspiration, neck mass and regurgitation of foul-smelling food:?
What is Zenker's diverticulum
300
This is associated with tight skin, GERD and Raynaud?
What is systemic sclerosis
300
Confirmatory test for achalasia after esophagram?
What is Manometry
300
This is the second line treatment for achalasia?
What is surgical myotomy
300
This is the biopsy finding in Barretts esophagus
Columnar epithelium above the GE junction
400
This causes oropharnygeal dysphagia and is associated
with weakness with repetitive activity
What is Myasthenia gravis
400
These patients present with food impactions, a history of atopy and rings or strictures on endoscopy?
What is Eosinophilic esophagitis
400
This is the test used to diagnose eosinophilic esophagitis
What is esophageal biopsy with greater than 15 eosinophils per high-power field
400
This is the treatment for hypertonic esophageal disorders like DES
Includes some/all of calcium channel blockers, hydralazine, botulinum toxin injections, and anxiolytics
400
This is the 5-year survival rate for patients with esophageal carcinoma
Between 15% and 25% depending on the stage at time of initial diagnosis
500
This causes oropharyngeal dysphagia and is classically found in patients with degenerative joint disease?
What is Cervical osteophytes
500
These are usually an incidental finding and may be associated with iron deficiency anemia?
What is Esophageal webs/rings
500
This test should be performed in a patient with refractory GERD symptoms who has a normal EGD
What is pH impedance testing (negative suggests no GERD); can do transnasal or capsule
500
This is the treatment for suspected eosinophilic esophagitis
What is 8 week trial of PPI to rule out GERD; if fails, therapy for EoE consists of swallowed aerosolized topical glucocorticoids (fluticasone or budesonide)
500
Locally advanced esophageal adenocarcinoma is treated with ?
What is neoadjuvant chemo --> surgery --> adjuvant chemo