Esophageal Disorders part 1 of 2 Review | Mnemonics And Proven Ways To Memorize for your exams!

Update
First line treatment for Eosinophilic Esophagitis now includes a Proton pump inhibitors (PPI) in addition to topical glucocorticoids (inhaled or swallowed).
Esophagitis (Infectious Esophagitis, Eosinophilic Esophagitis, Pill Induced Esophagitis, Caustic Esophagitis), GERD, Achalasia, Distal Esophageal Spasm, Hypercontractile Esophagus (Nutcracker/Jackhammer Esophagus) review for the PANCE, PANRE, Eor's and other Physician Assistant exams.
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Gastrointestinal/GI Pance review.
Esophagitis Pance review, GERD Pance review, Achalasia Pance review.

[@cramthepance]

**Update**
First line treatment for Eosinophilic Esophagitis now includes a Proton pump inhibitors (PPIs) in addition to topical glucocorticoids (inhaled or swallowed).

[@AlhajiMusaDr]

Thank you so much. After listening to your video, I can clearly now understand the various esophageal disorders. Very helpful, a big thumbs up!!!!!

[@cramthepance]

Thank you so much!!

[@brileysebek2761]

These are so helpful! Thank you so much for everything you do!

[@cramthepance]

No problem! Thank you so much!!

[@aarongardner2580]

In 2024 for esophageal pH monitoring some practices now have what is called the BRAVO capsule pH study, which gives you a DeMeester score to determine further management. The capsule is secured 5-6cm proximal to the lower esophageal sphinctor and disconnects on day 4 to be excreted via the bowels.

[@flowers7298]

Thank you for making this video.

[@cramthepance]

No problem! Thank you!

[@NapFroCentrics]

Hi!! thanks so much for this. I've been watching your channel for a few months and you've helped me a ton. I just had a quick question about treatment for eosinophilic esophagitis. On AMBOSS it seems the treatment includes PPIs and topical glucocorticoid. Which should I rather rely on? Thanks again :)

[@cramthepance]

Good point, it looks like the guidelines have changed a bit. So first line now includes PPI's combined with topical glucocorticoids (inhaled fluticasone or swallowed budesonide). Thank you!

[@NapFroCentrics]

@@cramthepance thank you so much!! ☺

[@suzieajayi8424]

Absolute best!

[@cramthepance]

Thank you!!!

[@juliaberry2251]

This is amazing.

[@cramthepance]

Thank you so much!!!

[@starklife2426]

Not for school or PANCE exams, but real life information regarding GERD: if your stomach acid is too LOW, the LES pressure sensitivity weakens and opens; so you actually want to increase the stomach acid. Counterintuitive, but it works.

[@Cc19283]

And that’s why most literature recommend PPI breaks and not taking it more than 4-8 weeks. Good point!!

[@Cc19283]

I think he mentions this at 16:50 too for reference

[@julie-cs7lc]

For infectious esophagitis, you skipped over the types of ulcers that hsv and cmv have. Also it’s blurred out on the slide in the video. Do you have an update for this?

[@emrej2527]

So helpful

[@cramthepance]

Thank you!

[@irisakame]

V good

[@cramthepance]

Thank you so much!