CRACKCast & Physicians as Humans on CanadiEM

CRACKCast E089 - Upper GI Tract


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This episode covers Chapter 89 of Rosen's Emergency 8th edition (or chapter 79 of 9th edition). Great review of some old concepts already presented, add a few spritzers of new stuff.

  • List the the types of dysphagia. What is an ED approach to this condition?
  • What are 4 areas of narrowing in the esophagus that FBs get stuck?
  • List 8 causes of esophageal obstruction & List 3 therapies for a food bolus.
  • What are the indications for removal of an esophageal foreign body?
  • What are the indications for removal of a gastric foreign body?
  • List 6 causes of esophageal perforation – where does the perforation usually happen?
  • List 4 CXR findings of esophageal perforation and 3 other studies that can be performed.
  • What is the ED management of a patient with esophageal perforation?
  • List causes of esophagitis.
  • List 10 agents or conditions associated with GERD and list 3 complications of GERD
  • List 6 lifestyle modifications for someone with GERD and 3 medical therapies
  • List 6 causes of gastritis and 6 ddx
  • List the 2 main causes of PUD and describe the management of each.
  • How are prostaglandins used the setting of GI disorders?
  • What are the types of gastric volvulus? List risk factors for each. Describe the ED management.

Wisecracks:

  • Differentiate between chest pain from ACS and that of an esophageal origin.
  • What is the mechanism of NSAID toxicity in PUD? List 3 at risk populations and 2 methods of preventing PUD in these people.
  • List 4 features of chest pain in PUD and 4 complications of PUD
  • What is Borchardt's triad?
  • Describe the mechanism of action of H2 blockers and PPIs
  • What are the potential complications of antacid use?

...more
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CRACKCast & Physicians as Humans on CanadiEMBy CCteam