Chapter 35 Management of Patients with Oral and Esophageal Disorder Notes

Chapter 35 Management of Patients with Oral and Esophageal Disorder Notes

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Chapter 35 Management of Patients with Oral and Esophageal Disorders Disorders of the Teeth Dental plaque Dental caries Periapical abscess Malocclusion Promotion of Oral Health Regular brushing and flossing Reduce intake of starches and sugars, and maintain good nutrition Fluoride application or fluorinated water Refrain from smoking and alcohol Control diabetes Regular dental care Sugars and ETOH Smoking: dries out mouth Disorder of the Jaw Temporomandibular disorders: Myofascial pain Internal derangement of joint Degenerative joint disease Treat with ROM exercises, NSAIDS, opioids, muscle relaxants, antidepressants, orthotics relieve pressure, may need surgery Disorders of the Lips, Mouth, and Gums Xerostomia Stomatitis Imbalanced Nutrition Assess nutritional state Encourage high-density, high-quality intake. Diet modified to liquid diet, or to soft, pureed, and liquid foods. Patient preferences/ cultural considerations
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Unformatted text preview: Provide oral care before and after eating. Nasogastric or gastrostomy feedings What is achalasia? Opposite of GERD GERD – loose floppy lower esophageal sphincter Achalasia- lower esophageal sphincter is too tight Achalasia Reduced peristalsis in esophagus Failure of esophageal sphincter to relax for swallowing Pyrosis Dysphagia Weight loss Dilation Stretch out narrowed area peri-esophageal sphincter Gastro esophageal Reflux Disease Etiology and pathophysiology – about 1 in 5 people in US Inflamed lower esophagus Risk: obesity, pregnancy, smoker, hiatal hernias Clinical manifestations – nocturnal coughing, pyrosis Complications – esophagitis, Barrett’s esophagus Diagnostic studies –barium swallow Collaborative care Lifestyle modifications Nutritional therapy Drug therapy Endoscopic therapy...
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  • Fall '13
  • Cannon
  • Gastroesophageal reflux disease, lower esophageal sphincter

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