Lauren Shared "Clin Med Module 5" - 52 Picmonics
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Clin Med Module 5
Achalasia
- Pathophysiology
- Failure to Relax Lower Esophageal Sphincter
- Malignancies
- Chagas Disease
- Loss of Auerbach Plexus
- Symptoms
- Dysphagia to Solids & Liquids
- Diagnosis
- Barium Swallow
- Bird's Beak Appearance
- Manometry
- Risk Factors
- Increased Risk Squamous Cell Carcinoma
2 mins
Acute Gastritis
- Erosive
- Disruption of Mucosal Barrier
- Caused by Stress
- NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
- Alcohol
- Uremia
- Burns
- Curling's Ulcer
- Brain Injury
- Cushing Ulcer
- Increase H+ Production
1 min
Barrett's Esophagus
- Histological findings
- Metaplasia in Lower Esophagus
- Columnar Epithelium
- Associated Pathologies
- Gastroesophageal Reflux Disease (GERD)
- Esophagitis
- Esophageal Ulcers
- Increased Risk of Esophageal Adenocarcinoma
1 min
Boerhaave Syndrome
- Pathophysiology
- Esophageal Rupture
- Increased Esophageal Pressure while Vomiting
- Lower 1/3 of Esophagus
- Signs and Symptoms
- Chest Pain
- Odynophagia
- Subcutaneous Emphysema
- Management
- Shock
- Surgical Emergency
2 mins
Eosinophilic Esophagitis
- Characteristics
- History of Atopic Disease
- Symptoms
- Dysphagia
- Diagnosis
- Endoscopy with Biopsy
- Eosinophilic Infiltrate
- Unresponsive to GERD Therapy
- Interventions
- Elimination Diet
- Proton Pump Inhibitors (PPIs)
- Topical Glucocorticoids
2 mins
Esophageal Adenocarcinoma Characteristics and Presentation
- Characteristics
- Most Common Esophageal Cancer in USA
- Lower 1/3 of Esophagus
- Risk Factors
- Gastroesophageal Reflux Disease (GERD)
- Barrett's Esophagus
- Achalasia
- Obesity
- Smoking
- Presentation
- Weight Loss
- Progressive Dysphagia
- Anemia
2 mins
Esophageal Perforation
- Etiologies
- Iatrogenic
- Inflammation
- Trauma
- Boerhaave Syndrome
- Presentation
- Retrosternal Pain
- Subcutaneous Emphysema
- Pneumomediastinum
- Diagnostic Workup
- Chest X-Ray
- Esophagram
- Computed Tomography
- Management
- ABCs (Airway, Breathing, Circulation)
- Broad-Spectrum Antibiotics
- Surgical Repair
4 mins
Esophageal Squamous Cell Carcinoma Risk Factors and Presentation
- Characteristics
- Most Common Esophageal Cancer Worldwide
- Upper 2/3 of Esophagus
- RISK FACTORS
- Plummer-Vinson Syndrome
- Alcohol
- Smoking
- Poor Diet
- Achalasia
- Clinical Features
- Progressive Dysphagia
- Weight Loss
- Anemia
1 min
Esophageal Stricture
- Risk Factors
- Caustic Ingestion
- Gastroesophageal Reflux Disease
- Esophagitis
- Schatzki Rings
- Clinical Features
- Dysphagia
- Weight Loss
- Diagnosis
- Barium Swallow
- Endoscopy
- Management
- Esophageal Dilation
- Proton Pump Inhibitors
3 mins
Esophageal Varices
- Pathophysiology
- Cirrhosis
- Portal Hypertension
- Left Gastric Vein and Esophageal Veins
- Clinical Features
- Hematemesis
- Melena
- Hypotension
- Acute Management
- IV Fluids
- Antibiotics
- Octreotide
- Endoscopic Band Ligation or Sclerotherapy
- Balloon Tamponade
- Prophylaxis
- Nonselective Beta Blockers
- Transjugular Intrahepatic Portosystemic Shunt (TIPS)
3 mins
Gastroesophageal Reflux Disease (GERD) Assessment
- Pathophysiology
- Relaxed Lower Esophageal Sphincter
- Signs and Symptoms
- Dyspepsia (Indigestion)
- Belching
- Nighttime Coughing
- Dysphagia
- Epigastric Pain
- Regurgitation
- Heartburn (Pyrosis)
- Globus
2 mins
Hepatitis A
- Characteristics
- Picornavirus
- 4 Week Incubation Period
- Fecal-oral
- Day Care Centers
- Travel to Developing Countries
- Signs and Symptoms
- Usually Asymptomatic
- Acute Disease
- Jaundice
- Fever
- Vomiting
2 mins
Hepatitis A (HAV) Assessment
- Transmission
- Fecal-Oral
- Ingestion of Contaminated Food or Water
- Incubation
- 4 Weeks
- Assessment
- Fever
- General Malaise
- Hepatomegaly
- Considerations
- Self-Limiting
- Proper Hand Washing
2 mins
Hepatitis B Virus Disease
- Can turn chronic
- < 10% of adults become chronic carriers
- 90% of newborns become chronic carriers
- Cirrhosis
- Hepatocellular carcinoma
- Membranous Glomerulonephritis
- Polyarteritis nodosa
- Serum sickness like syndrome
2 mins
Mallory-Weiss
- Characteristics
- Bleeding From Tears in Mucosa
- Forceful Vomiting
- Alcoholism
- Eating Disorders (Bulimia)
- Painful Hematemesis
- Diagnosis
- Endoscopy
- Management
- Observation
2 mins
Peptic Ulcer Disease Assessment
- Mechanism/Cause
- Helicobacter Pylori
- NSAIDs
- Increased Stomach Acid
- Assessment
- Abdominal Pain
- Heartburn (Pyrosis)
- Melena
- Weight Changes
- GI Distress
- Considerations
- Most Commonly in Duodenum
- Duodenal: Pain Relieved by Eating
- Gastric: Pain Caused by Eating
2 mins
Peptic Ulcer Disease Interventions
- Combination Drug Therapy
- Two Antibiotics
- Proton Pump Inhibitor (PPI)
- Decrease Acid Secretion
- Avoid NSAIDs
- Diet and Lifestyle Changes
1 min
Plummer-Vinson Syndrome
- Triad of Symptoms
- Dysphagia
- Esophageal Webs
- Glossitis
- Iron Deficiency Anemia
- Association
- Squamous Cell Cancer of Esophagus
1 min
Stomach Cancer
- Adenocarcinoma
- Intestinal Type
- Intestinal Type
- Smoked Foods Containing Nitrosamines
- Achlorhydria
- Type A Blood
- Helicobacter pylori
- Diffuse Type
- Diffuse Type
- Signet Ring Cells
- Linitis Plastica (Leather Bottle Stomach)
- Assessment
- Acanthosis Nigricans
- Left Supraclavicular Lymph Node
- Virchow's Node
- Subcutaneous Periumbilical Mets
- Sister Mary Joseph's Nodule
- Complications
- Bilateral mets to ovaries
- Krukenberg's tumor
3 mins
Zenker Diverticulum
- Pathophysiology
- False Diverticulum
- Junction of Pharynx and Esophagus
- Inferior Pharyngeal Constrictor
- Symptoms
- Dysphagia
- Regurgitation of Undigested Food
- Halitosis
- Diagnosis
- Barium Swallow
- Treatment
- Surgical Repair
2 mins
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