CRACKCast E089 - Upper GI Tract

CRACKCast & Physicians as Humans on CanadiEM

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?