Esophagitis: Difference between revisions

Revision as of 06:37, 19 August 2015

Inflammatory
- GERD
- Allergic (eosinophilic)
Infectious Mainly seen in patients w/ immunosuppression (HIV/AIDS, cancer, steroids)
- Esophageal candidiasis: often an AIDS defining lesion
- HSV
- CMV esophagitis
- aphthous ulceration
Medication-induced (i.e. "pill") esophagitis, common culprits:
- Doxycycline
- Tetracycline
- Clindamycin
- NSAIDs
- ASA
- Bisphosphonates
- Ferrous sulfate
- Potassium chloride
- Ascorbic acid

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-*Almost always causes odynophagia and/or dysphagia
+*
-*Can cause prolonged periods of chest pain
-*Nausea and dyspepsia
+==Clinical Features==
+*Odynophagia and/or dysphagia
+*Chest pain
+*Nausea
+*Dyspepsia
+==Differential Diagnosis==
 {{Esophagitis types}}
 ==Diagnosis==
-*Clinical
+===Work-Up===
-*Needs further evaluation via endoscopy
+*CBC
+*CMP
+*Consider HIV workup if unknown causation, risk factors
-==Work-Up==
+===Evaluation===
-*CBC with dif
+*Generally clinical diagnosis in ED (requires EGD for conclusive diagnosis)
-*Chem 7
-*Fluids if dehydrated
-*Consider HIV workup if unknown causation, risk factors
-==Treatment==
+==Management==
 *PPI for GERD-induced esophagitis
 *Candidal Infection: fluconazole for 14 to 21 days
-**consider IV if unable to tolerate PO
+*IV Fluids for dehydration
-*Consider dehydration secondary to decreased PO intake
 ==Disposition==
-*Low threshold to admit if not tolerating PO
+*Admit if unable to tolerate PO or if underlying immunosuppression (e.g. HIV)
-*Consider additional workup depending on causation
+==See Also==
+*
+==References==
+<References/>
-==Source==
-*Tintinalli
-*Hess JM, Lowell MJ: Esophagus, Stomach and Duodenum, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 89: p 1170-1187.
 [[Category:GI]]
 [[Category:ID]]