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Condition Info
ConditionName
Infectious Esophageal Disorders
ConditionDescription
Symptoms
Odynophagia; Chest pain; Swallowing problem or pain with swallowing; Gradient onset;
PhysicalFindings
Large ulcerations -> CMV; Small ulcerations -> HSV;
ClinicalTests
Endoscopy, with cytology or biopsy No initial tests (90% are fungal) but if no result -> endoscopy;
RiskFactors
AIDS; Organ transplants; Alcohol use disorder; Diabetes; Undernutrition; Cancer; Esophageal motility disorders
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
Underlining immunosuppressing condition (CD4 <100);
TreatmentOptions
PharmOptions
Nitro can also help, but relief takes longer than 3-5 min which it takes for angina; Empirical fluconazole;
WebLink
https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/infectious-esophageal-disorders
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