ngaybinhyen wrote:
1. Next step: barium contrast swallow
2. Best Dx test: endoscopy
ATB-induced: Symptoms typically last several days to several weeks. Ulcerations may vary in appearance but are typically small and superficial located in the mid esophagus just above the aortic arch or left mainstem bronchus
3. Rx/prevention in chemotherapy: no treatment has been proven effective
- amifostine
- sucralfate
4. On the basis of the sometimes normally slow transit of medications through the esophagus, particularly for gelatin capsules and larger tablets,
(a) Medications should be swallowed with at least 8 ounces of a clear liquid;
(b) patients should remain upright for at least 30 minutes following ingestion
(c) in patients with potential underlying increased risk (e.g., inability to follow the previous instructions, poor esophageal motility, anatomic compromise of the esophageal lumen), search for alternative safer medications or carefully weigh the risks and benefits of this medication against the disease for which this medication is necessary
C. Cefuroximeis the correct answer.
BTW ,
Next step in such a patient is to stop the drug and if the patient doesnot response to drug withdrawal , then I agree with ngaybinhyen
However doing esophagography or esophagoscopy in all patient woth symptoms of esophagitis and a definite insulting agent , is not correct .
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| ngaybinhyen
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I don't understand the last line in your text, nightflight.
Can you please explain more?
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| nightflight1945
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It means when there is a clear reason for patient's symptoms of esophagitis (drug here) , why should we do endoscopy or ... .
Please forget about corrosive agents that endoscopy should be done if first 12-24 hours /not for Dx but for assessment of the amount of damage.
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| ngaybinhyen
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Thanks
I think I'll get it when I do the Q
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| nightflight1945
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