Internal Medicine Lecture Notes PDF

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LeanLaplace6637

Uploaded by LeanLaplace6637

University of Kirkuk

Dr. Mohammed Alaa

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esophagus internal medicine medical lectures digestive system

Summary

This document is a lecture presentation on internal medicine, focusing on esophageal conditions. It covers various causes of esophageal issues, including infections, corrosive agents, and medications.

Full Transcript

Internal Medicine Based on Kirkuk University Lectures Presented By Dr. Mohammed Alaa By Next Lecture esophagitis Barret- premalignant > gullet Other causes of oesophagitis 1.Infection,candidiasis, immune...

Internal Medicine Based on Kirkuk University Lectures Presented By Dr. Mohammed Alaa By Next Lecture esophagitis Barret- premalignant > gullet Other causes of oesophagitis 1.Infection,candidiasis, immune - - & compromised pt. broad - ACCIDANTAL spectrum antibiotic, cytotoxic SUCCIDE drugs - - 2.Corrosives ,bleach , battery & acid : painful pain & burn of - & - & mouth , erosive esophgitis - - & - F - - perforation,mediasinitis,strictur &media num infla - & - & - - - - => - - - Misso & By's & - - * => - - - & = dia > - prima - I des Helier Bisphosphonates are a group of stend medicines used to treat osteopenia or osteoporosis - d during repair ↑ - & & "ejj, - - - & 1444 - density of ba & - => - - - Great role in ↑ in mucosa of autoimmun allergy & - - Eosinophlic esophgeatis so > - in abopic patient ⑪ ↓ high digre Sij" - Sus in ebsenstivity - ↑ = muydj - nAtopic persons > - JebO en n Eosinophlic infiltration of mucosa - Dat n Dysphagia n Esophageal ring - O & & n Ppi & - & - n Steroid inhaler ? => 4 & & J 3 - - - S &n - 1 - died- PDI-topical > > - oral steroid tab. Smoksteroid a liquid meal replacement diet that - offers - a complete nutritional profile - & broken - down into its most “elemental” - form. - - & - - elimination diet, a food or group & - of foods is removed from a& - - - => persons diet for a set period of => - time. This helps to determine * - - whether specific foods or - - - ingredients in foods contribute to - * - - symptoms - - & - & - - - - - n - &19 - - => - & - => - - - steroid - - - - - - - - - - - - - - => > - ESOPHGEAL PATHOLOGY cosinophic esophagibis * & - - & (1) spindle Flask sigmoid type = V Motility disorder narrowing -1 - Ej Achalasia Hypertonic LOS, failure to relax in response to - - & swallowing wave. - Cause Defect release of& - NO.by inhibitory neuron in - LOS - Degeneration of gangloinic cells within - - sphincter & body of esophgus & & - = 55149 - - - - - > - - Tiang NO - - - - - - - · ure - - - - & & -- - = +s - - * - = - - & & & 1st alses & & - - -, / - & - - egical chest pain i i · , spasm - - - - - - Clinical feature Dysphgia slowly progressive, - intermittent, start with solid, dec. with - - - liquid drinking, standing , moving > - -- around. - G - Y - Chest pain 25s & ·: 9 -jes sacid % 10 Heart burn ??? & 818). - so & Jig Nocturnal pulmonary aspiration & - Squamous ca veinomm - consoldation - Investigation opacity # · o CXR , widening Mediastinum, aspiration pneumonia - city => o Barium swallow o&OGD + Bx ? Biopsy pusdoachlasia o Manometery to& confirms the - diagnosis 861125 - & oesophago-gastroduodenoscopy I Cardium & damage be ⑤ > - sphincter - lead - - ke GERD - End - - & - & labroscope = - - & - - - - - - & - - - - & - - - Fig 23-35 - - labroscopes Heler's - - - - - - GERD - - Fundiplic preumatic Ballon Dilatation Treatment v & & Endoscopic pneumatic dilation v Botulinum toxin injection in LOS - v Surgical myotomy *Huller s operation e => v Antireflux procedure ?? - Partial fandiplication 61 miss , fundplication Distal Diffuse esophageal spasm - forceful peristaltic activity n - Late middle age n Episodic of chest pain mimic angina - - - spasm/las n Transient dysphgea - & - > - n Ppi m - - = - GERD - & - n Nitrate, nfidipin - & - - - + > - n Pneumatic dilatation, myotomy & & & 46 ↳ &= & , 1)21] Barium rub Causes of esophageal stricture & CircumfrenceI layers n GERD - - Web or ring & & - n & - & & n Ca esophagus - - - - dim - & - pharynx Smoth & - -%5 & Eosiophlic esophgetis. - - n - - - - - - n Extrinsic & compression - - - - - n Corrosive ingestion n Post operative scaring Post radiotherapy & n & n - & Long term NG tube bl - - - , n - biphosphonate - - - - Ring L - & I - - 6 - psude ?? achalasia Bead eat Dat Karl ?? Smoth a Care Stricture Out growth Carcinom ????? corrosive & - - - & - - z - - - - - - #S - - - stricture -= Plummer-Vinson syndrome is defined by the classic triad of - dysphagia, iron-deficiency anemia and esophageal webs. - & Even though the syndrome is very rare nowadays, its web - recognition is important because it identifies a group of patients at increased risk of squamous cell carcinoma of the - pharynx and the esophagus. - = - Sidropenid dysphan & --- Gat & Kollomychia - 79 · ?? well rare s 34/ ??? - - - - 9) - > - -ifidipin nitrate sever peristaltic wave spasm NEXT LECTURE Onwards and Upwards CONTACT US @nextlecturesupport [email protected] www.nextlecture.org

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