CCEP 9Q Study Guide
Esophagitis presentation - ANS inflammation of the esophageal wall as a consequence of
abnormal gastroesophageal reflux of HCL
What is the etiology of esophagitis? - ANS Incompetence of the lower esophageal sphincter
and loss of protective mucus layer
What is the conservative treatment for esophagitis? - ANS avoid strong acid stimulators,
alcohol, coffee, fats and chocolate
What is the presentation of hiatal hernia? - ANS protrusion of part of the stomach through the
diaphragm hiatus
What are the types of hiatal hernias? - ANS sliding, paraesophageal
What is a sliding hiatal hernia? - ANS gastroesophageal junction and part of the stomach are
above the diaphragm. (stomach is pulled up)
What is a paraesophageal hiatal hernia? - ANS esophageal junction is in normal place, but part
of the stomach is next to esophagus (AKA rolling)
What is the presentation of a peptic ulcer? - ANS area of stomach or proximal duodenal
mucosa that has been penetrated
What is the etiology of peptic ulcers? - ANS H. Pylori, NSAIDS, hypersecretion of acid
disrupting the mucosa
What is the treatment for a peptic ulcer? - ANS avoid fruit juice, spicy and fatty foods, restrict
alcohol, smoking is a risk factor
What is the presentation of cholecystitis? - ANS inflammation of the gallbladder wall (usually in
response to a cystic duct obstruction
What is the treatment for cholecystitis? - ANS surgery
What is cholilisthiasis? - ANS Gallstone formation
What is the typical age onset of type 1 diabetes mellitus? - ANS under 30
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