13 Esophageal Disorders
Last updated
Last updated
basal zone: near basement membrane
eosinophil in mucosal layer
life style
scleroderma: collagen deposit
worse at night when laying down
new asthma (also watch out for Churg Strauss)
babies can't complain
peppermint classic trigger
surgery: nissen fundoplication. Portion of stomach wrapped around lower esophagus
ulcer healed = fibrous tissue, obstruct lumen = dysphagia
basic substances
diagnosis by endoscopy
obesity: fatty tissue pushing stomach up and acid up
unique symptoms: hoarse voice and cough
candida: esp immunocompromised
present with dysphagia: difficulty swallowing
both solids and liquids instead of just solids (tumor, partial obstruction)
risk for scc
painless
mucosa
vomit blood with epigastric pain
crepitus when press on skin in neck
ring: circumferential protrusion
web: not circumferential
not true diverticulum
chronic exposure of mucosa to high pressure to force food down leads to zenker's
cricopharyngeus encircling esophagus
thyropharyngeus slanting
