NURS 203 Lecture Notes - Tracheoesophageal Fistula, Systemic Scleroderma, Duodenal Atresia
Document Summary
Most of the time, there will be 5-6 clues per question. If pt has problem swallowing solids and liquids, it is a peristalsis problem, which is very bad. If it"s the upper 1/3 of the esophagus (which is all striated muscle), it is due to myasthenia gravis (b/c it affects striated muscle). If it"s the middle 1/3 (combo of smooth and striated muscle). And if it"s the lower 1/3 (smooth muscle) it"s due to scleroderma (aka progressive systemic sclerosis and crest syndrome) and achalasia. So, they will tell you immediately if they can swallow liquids and/or solids, or neither (which is a peristalsis problem). In achalasia, they vomit up the food they ate when they go to bed at night; or they will tell you pt has raynaud"s, indicating that it is crest. When it gets into the esophagus, it is aids defining. When it is a thrush, it is pre aids lesion (not aids defining)
