Esophagitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Odynophagia and/or dysphagia | *Odynophagia and/or dysphagia | ||
**Commonly causes dehydration | |||
*Chest pain | *Chest pain | ||
*Nausea | *Nausea | ||
Revision as of 10:40, 30 October 2015
Background
Clinical Features
- Odynophagia and/or dysphagia
- Commonly causes dehydration
- Chest pain
- Nausea
- Dyspepsia
Differential Diagnosis
Esophagitis Types
- 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
Diagnosis
Work-Up
- CBC
- CMP
- Consider HIV workup if unknown causation, risk factors
Evaluation
- Generally clinical diagnosis in ED (requires EGD for conclusive diagnosis)
Management
- PPI for GERD-induced esophagitis
- Candidal Infection: fluconazole for 14 to 21 days
- IV Fluids for dehydration
Disposition
- Admit if unable to tolerate PO or if underlying immunosuppression (e.g. HIV)