On the Way Down

Question 1

• pharynogesophageal pouch (false diverticulum- only involves the mucosa and possibly submucosa)
• most common in males. Usually presents > 60 years of age
• dysphagia, halitosis, regurgitation of undigested food, cough, feeling as if there is a lump in neck.
• diagnosis: Barium esophagrum with video fluoruoscopy initial test of choice

Answer 1

Zenker’s diverticulum

Question 2

• pharynogesophageal pouch (false diverticulum- only involves the mucosa and possibly submucosa)
• most common in males. Usually presents > 60 years of age
• dysphagia, halitosis, regurgitation of undigested food, cough, feeling as if there is a lump in neck.
• diagnosis: Barium esophagrum with video fluoruoscopy initial test of choice

Answer 2

Zenker’s diverticulum

Question 3

If thinking esophageal malignancy choose what for imaging?

Answer 3

barium swallow study

Question 4

• iron deficency anemia
• esophageal web
• spoon nails

Answer 4

plummer-vinson syndrome

Question 5

what could be seen on PE for gastric cancer

Answer 5

• sister mary joseph node
• virchow’s nodes

Question 6

If thinking gastic malignancy choose what for imaging?

Answer 6

EGD

Question 7

• rare clincial entitiy with mortality rate of 20-50%
• its pathophysiology involves a sudden rise in intraluminal esophageal pressure, most often during or after intense vomiting
• located in the lower third of the esophagus, about 2-4 cm above the cardia
• common symptoms include vomiting, chest pain, dyspnea, dysphagia, subcutaneous emphysema, tachycardia, fever, tachypnea, and epigastric pain
• dx: CT scan
• tx: Surgery

Answer 7

Boerhaave’s syndrome