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CRACKCast & Physicians as Humans on CanadiEM

CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources. The CanadiEM Podcast brings you cutting edge clinical topics on the National Rounds Series and delves into the struggles that doctors face on the Physicians as Humans Series.

Jul 3, 2017

This episode covers Chapter 89 of Rosen’s Emergency 8th edition (or chapter 79 of 9th edition). Great review of some old concepts already presented, add a few spritzers of new stuff.



  • List the the types of dysphagia. What is an ED approach to this condition?
  • What are 4 areas of narrowing in the esophagus that FBs get stuck?
  • List 8 causes of esophageal obstruction & List 3 therapies for a food bolus.
  • What are the indications for removal of an esophageal foreign body?
  • What are the indications for removal of a gastric foreign body?
  • List 6 causes of esophageal perforation – where does the perforation usually happen?
  • List 4 CXR findings of esophageal perforation and 3 other studies that can be performed.
  • What is the ED management of a patient with esophageal perforation?
  • List causes of esophagitis.
  • List 10 agents or conditions associated with GERD and list 3 complications of GERD
  • List 6 lifestyle modifications for someone with GERD and 3 medical therapies
  • List 6 causes of gastritis and 6 ddx
  • List the 2 main causes of PUD and describe the management of each.
  • How are prostaglandins used the setting of GI disorders?
  • What are the types of gastric volvulus? List risk factors for each. Describe the ED management.





  • Differentiate between chest pain from ACS and that of an esophageal origin.
  • What is the mechanism of NSAID toxicity in PUD? List 3 at risk populations and 2 methods of preventing PUD in these people.
  • List 4 features of chest pain in PUD and 4 complications of PUD
  • What is Borchardt’s triad?
  • Describe the mechanism of action of H2 blockers and PPIs
  • What are the potential complications of antacid use?