DENT3060 Lecture Notes - Lecture 29: Urea Breath Test, Erythrocyte Sedimentation Rate, Complete Blood Count
Document Summary
Abdominal distension/pain, flatulence, constipation, diarrhoea, jaundice/high coloured urine. Endoscopy (gastroscopy/colonoscopy/sigmoidoscopy), laparoscopy, radiology using contrast medium (barium meal), faecal fat collection, faecal occult blood, ph monitoring, breath tests, pancreatic function tests, intestinal motility tests, oesophageal manometry. Causes: strictures of oesophagus, spasm, swallowed foreign body, anxiety reflux disease, cancer, stomatitis/pharyngitis/tonsillitis, severe iron deficiency anaemia. Symptoms: (cid:858)lu(cid:373)p i(cid:374) throat(cid:859) whe(cid:374) (cid:374)ot swallowi(cid:374)g: pain/burning sensation while swallowing, bulge/gurgle in neck when drinking food regurgitation. Investigations: full blood count, erythrocyte sedimentation rate: x-ray/endoscopy/biopsy, ct scan, oesophageal motility studies. Management: dilatation of oesophagus, surgical resection, muscle relaxants/antacids, correct iron deficiency. Inflammation of oesophagus, usu. due to acid reflux from stomach. Symptoms: dull retrosternal ache (heart burn), pain radiating to throat/back regurgitation, dental erosion. Signs: no signs in early stages: advanced stages: haematemesis, anaemia, aspiration pneumonia. Investigations: endoscopy with/out biopsy, ba meal x-ray, oesophageal motility studies (ecg rule out heart disease)
