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Morning ReportLaura Lascurain MD PGY 3

May 1, 2015

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∗ u ter' - 4D, -o #ospita i+ations orsurgeries, s#e #as 'i ! a ergic r#initis

∗ -o 'e!ications∗ - D6, a ergic8 to !airy∗ a'i y #istory o( ro#n Disease in 'aterna

G , ast#'a in $rot#er

PMH

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∗ 4ita s nor'a "it# nor'a saturations∗

Heig#t 129i e, eig#t 79i e∗ G;-: "e appearing, anD: - -D, > , no organo'ega y∗ ;? : "ar', no c u$$ing∗ G@: anner I (e'a e∗ -;@R/: a ert, oriente!, - intact II&?II, gross y nor'a strengt# an!

tone, reAe

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DiBerentia

∗ ensory=/t#er∗ G o$us sensation∗ 4oca or! Dys(unction∗ 6notu is'∗ to'atitis

∗ In(ectious p#aryngitis∗

Peritonsi ar a$scess∗ In(ectious esop#agitis: M4, an!i!a

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DiBerentia

∗ Ingestion= rau'a∗ austic ingestion∗ ;sop#agea (oreign $o!y∗ ;sop#agea per(oration∗ /rop#aryngea trau'a

∗ -euro'otor∗ ere$ra pa sy∗ Mi er is#er syn!ro'e∗ entra ner*ous syste' tu'or∗ Dystonic reaction∗ Myast#enia gra*is∗ -utcrac)er esop#agus

∗ 6c#a asia∗ DiBuse esop#agea spas'∗ Post&surgica

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DiBerentia∗ InAa''atory

∗ te*ens&Co#nson syn!ro'e∗ ;osinop#i ic ;sop#agitis∗ R#eu'atic !isease eg, Eu*eni e syste'ic sc erosis, !er'ato'yositisF∗ ro#n s !isease∗ G;RD stricture∗ onsi ar=a!enoi! #ypertrop#y

∗ 6nato'ic∗ 4ascu ar ring∗ ;sop#agea tricture∗ ;sop#agea e$∗ #yroi! en arge'ent eg, acute suppurati*e t#yroi!itisF∗ ;sop#agea tu'or∗ Hiata #ernia

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∗ 6 ergic inAa''atory con!ition o( t#eesop#agus in*o *ing eosinop#i s

∗ Presents "it# epigastric pain, *o'iting, or!ysp#agia

∗ Diagnosis 'a!e $y en!oscopic $iopsy s#o"ing

in tration o( t#e ining "it# eosinop#i s∗ oo! a ergy p ays a signi cant ro e∗ Manage'ent is contro*ersia

;osinop#i ic ;sop#agitis

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;osinop#i ic ;sop#agitis

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;osinop#i ic ;sop#agitis

Linear orongitu!ina

(urro"s are'ucosagroo*es t#at

run para e tot#e ong a

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∗ Pat#o ogy: Inco'p ete re a

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6c#a asia

>ir! s >ea)8

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∗ G;R: return o( gastric contents into esop#agus∗ G;RD: or esop#agea sy'pto's

∗ pain, inAa''ation, $ ee!ing, #oarseness,aryngitis, coug#, apnea, recurrent pneu'onia

∗ More co''on in infants t#an c#i !ren∗

Diagnosis !iJcu t∗ @pper GI∗ pH pro$e∗ ;n!oscopy

G;RD

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∗ Rare in #ea t#y c#i !ren∗ M4 an! can!i!a 'ore i)e y∗ More co''on in #ig#er ris) c#i !ren

∗ HI4, DM, cancer, ong ter' steroi! use

;sop#agea In(ections

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∗ K@pper en!oscopy 12&2 #ours a(teringestion

∗ Initia 'anage'ent is o$ser*ation∗ ;

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#an)s