ESOPHAGITIS

1. CHIEF COMPLAINT
•Esophagitis

2. HPI

3. ROS

4. SYMPTOMS
•Dysphagia
•Pain
•Odynophagia
•Heartburn
•Retrosternal discomfort or pain
•Nausea
•Vomiting
•Fever
•Sepsis
•Abdominal pain
•Epigastric pain
•Hematemesis
•Anorexia
•Weight loss
•Cough

5. HISTORY

•FAMILY HISTORY
o Hypertension
o Diabetes
o Sarcoidosis
o IBD

•SOCIAL HISTORY
•PAST MEDICAL HISTORY
o Gastroesophageal Reflux Disease (GERD)
o Inflammatory bowel disease (Crohn disease)
o Sarcoidosis
 o Chronic granulomatous disease
o Metastatic cancer
o Collagen vascular disease
o Hypertension
o Diabetes

•SURGICAL HISTORY
•CHRONIC CONDITIONS
o Gastroesophageal Reflux Disease (GERD)
o Inflammatory bowel disease (Crohn disease)
o Sarcoidosis
o Chronic granulomatous disease

6. ALLERGIES

7. PHYSICAL EXAMINATION

8. SPECIFIC DATA LIKE GRADING

9. TESTS TO BE ORDERED

•CBP
•CD4 count

•HIV test

•Barium studies

•Upper endoscopy
•Esophagogastroduodenoscopy (EGD)

10. ASSESSMENT/PLAN

11. EDUCATION
•Take medication with plenty of water while sitting in the
upright position.

12. MEDICATION

•Nystatin
•Clotrimazole
 •Oral amphotericin B.
•Fluconazole
•Itraconazole
•Amphotericin B
•Flucytosine
•Acyclovir
•Famciclovir
•Foscarnet
•Chlorambucil
•Prednisone
•Cyclosporine
•Azathioprine
•Thalidomide
•Clotrimazole
•Anidulafungin
•Ganciclovir
•Prednisone

13. FOLLOW UP