DYSPHAGIA

Question 1

Esophageal cancer DDx:

5

Answer 1

1. Achalasia.
2. Esophagitis.
3. Systemic sclerosis.
4. Esophageal stricture.
5. ALS.

Question 2

Esophageal cancer workup:

5

Answer 2

1. CBC.
2. CXR.
3. Upper endoscopy with biopsy.
4. Barium swallow.
5. CT chest.

Question 3

Plummer-Vinson syndrome DDx:

5

Answer 3

1. Esophageal cancer.
2. Esophagitis.
3. Achalasia.
4. Systemic sclerosis.
5. MV stenosis.

Question 4

Plummer-Vinson syndrome workup:

5

Answer 4

1. CBC.
2. Serum iron, ferritin, TIBC.
3. Barium swallow.
4. Upper endoscopy.
5. Video fluoroscopy.

Question 5

Achalasia DDx:

7

Answer 5

1. Plummer-Vinson.
2. Esophageal cancer.
3. Esophagitis.
4. Systemic sclerosis.
5. MV stenosis.
6. Esophageal stricture.
7. Zenker’s diverticulum.

Question 6

Achalasia workup:

5

Answer 6

1. CXR.
2. Upper endoscopy.
3. Barium swallow.
4. Esophageal manometry.
5. XR-neck.

Question 7

Esophagitis DDx:
(CMV, HSV, HIV, pill-induced)

(4)

Answer 7

1. Systemic sclerosis.
2. GERD.
3. Esophageal stricture.
4. Zenker’s diverticulum.

Question 8

Esophagitis workup:

5

Answer 8

1. CBC.
2. Upper endoscopy.
3. Barium swallow.
4. HIV antibody and viral load.
5. CD4 count.