Class 6512: I Human Case Week #7 56 Year Old Female
Reason For Encounter: Blood Pressure Recheck
Mr. Brown warranted an ____ as ____ is the most likely diagnosis and one that
the physician must not miss. - answer-upper endoscopy (EGD), esophageal
cancer
, The EGD for Mr. Brown allowed visualization of the esophageal epithelium for
____, ____, and ____. - answer-signs of reflux, visualization of any neoplastic
lesions and facilitated collection of biopsy specimens
t/f- an EGD is the test of choice for diagnosing achalasia - answer-FALSE--> an
EGD is NOT the test of choice for diagnosing achalasia, barium swallow vs a
manometry study to evaluate for achalasia is vital
what is the test of choice of diagnosing achalasia - answer-barium swallow or a
manometry study to evaluate for achalasia (a rare disorder that makes it
difficult for the foot to pass into the stomach)
for Mr. Brown, the EGD biopsies confirmed squamous cell carcinoma of the
esophagus. The next step is ____ - answer-to determine the stage of the
disease as quickly as possible to minimize potential cancer spread. Therefore,
the patient was referred to a medical oncologist for further evaluation, staging,
and discussion of treatment options. Additional testing usually includes a
whole body PET-CT scan as part of staging. This imaging approach is used
because cancers show high uptake of FDG (18F-Fluoro-deoxy-glucose).
Treatment options will be based on the stage of disease.
what did Mr. Brown have - answer-esophageal cancer
for mr brown, why did would a barium swallow vs manometric study be done -
answer-to evaluate for achalasia, if EGD is negative
describe the ending to the mr brown story - answer-In addendum: Mr. Brown's
oncologist did a whole body PET-CT as part of his staging and found
Reason For Encounter: Blood Pressure Recheck
Mr. Brown warranted an ____ as ____ is the most likely diagnosis and one that
the physician must not miss. - answer-upper endoscopy (EGD), esophageal
cancer
, The EGD for Mr. Brown allowed visualization of the esophageal epithelium for
____, ____, and ____. - answer-signs of reflux, visualization of any neoplastic
lesions and facilitated collection of biopsy specimens
t/f- an EGD is the test of choice for diagnosing achalasia - answer-FALSE--> an
EGD is NOT the test of choice for diagnosing achalasia, barium swallow vs a
manometry study to evaluate for achalasia is vital
what is the test of choice of diagnosing achalasia - answer-barium swallow or a
manometry study to evaluate for achalasia (a rare disorder that makes it
difficult for the foot to pass into the stomach)
for Mr. Brown, the EGD biopsies confirmed squamous cell carcinoma of the
esophagus. The next step is ____ - answer-to determine the stage of the
disease as quickly as possible to minimize potential cancer spread. Therefore,
the patient was referred to a medical oncologist for further evaluation, staging,
and discussion of treatment options. Additional testing usually includes a
whole body PET-CT scan as part of staging. This imaging approach is used
because cancers show high uptake of FDG (18F-Fluoro-deoxy-glucose).
Treatment options will be based on the stage of disease.
what did Mr. Brown have - answer-esophageal cancer
for mr brown, why did would a barium swallow vs manometric study be done -
answer-to evaluate for achalasia, if EGD is negative
describe the ending to the mr brown story - answer-In addendum: Mr. Brown's
oncologist did a whole body PET-CT as part of his staging and found
