Comments on: Odynophagia http://www.medrants.com/archives/5333 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Bethany http://www.medrants.com/archives/5333/comment-page-1#comment-544362 Bethany Sun, 15 May 2011 00:32:48 +0000 http://www.medrants.com/?p=5333#comment-544362 Do an endoscopy and find out why she doesn't want to leave the hospital. How about Barrett's? Or, a piercing in a heretofor unimaginable location.  Do an endoscopy and find out why she doesn't want to leave the hospital. How about Barrett's? Or, a piercing in a heretofor unimaginable location. 

]]> By: No name http://www.medrants.com/archives/5333/comment-page-1#comment-531894 No name Mon, 01 Mar 2010 02:30:16 +0000 http://www.medrants.com/?p=5333#comment-531894 Candida esophagitis Candida esophagitis Candida esophagitis HSV esophagitis Mucormycosis? Candida esophagitis
Candida esophagitis
Candida esophagitis
HSV esophagitis
Mucormycosis?

]]> By: Happy Hospitalist http://www.medrants.com/archives/5333/comment-page-1#comment-531855 Happy Hospitalist Sat, 27 Feb 2010 01:50:34 +0000 http://www.medrants.com/?p=5333#comment-531855 Tell her that coke causes ischemic ulcers and there is nothing you can do for her but to protest to the local police department for not winning the war on drugs and Then tell her to follow up with her pcp. Tell her that coke causes ischemic ulcers and there is nothing you can do for her but to protest to the local police department for not winning the war on drugs and Then tell her to follow up with her pcp.

]]> By: amit http://www.medrants.com/archives/5333/comment-page-1#comment-531850 amit Fri, 26 Feb 2010 20:10:22 +0000 http://www.medrants.com/?p=5333#comment-531850 eosinophilic esophagitis eosinophilic esophagitis

]]> By: Michael Kirsch, M.D. http://www.medrants.com/archives/5333/comment-page-1#comment-531848 Michael Kirsch, M.D. Fri, 26 Feb 2010 18:48:34 +0000 http://www.medrants.com/?p=5333#comment-531848 What to do next? I'm a GI and we always have the same diagnostic response to every clinical question, as you know. GERD does not typically cause odynophagia. I would consider Candida, herpes or a pill-induced lesion. Esophageal candidiasis typically associated w/thrush, but exceptions occur. Was an NG tube placed, which may have induced trauma? Esophageal tear? I'm glad you cleared the tonsils! I presume that I have struck out on my initial diagnostic considerations and I look forward to public humiliation when you inform us of the correct dx. What to do next? I’m a GI and we always have the same diagnostic response to every clinical question, as you know. GERD does not typically cause odynophagia. I would consider Candida, herpes or a pill-induced lesion. Esophageal candidiasis typically associated w/thrush, but exceptions occur. Was an NG tube placed, which may have induced trauma? Esophageal tear?

I’m glad you cleared the tonsils!

I presume that I have struck out on my initial diagnostic considerations and I look forward to public humiliation when you inform us of the correct dx.

]]> By: JB http://www.medrants.com/archives/5333/comment-page-1#comment-531846 JB Fri, 26 Feb 2010 18:06:46 +0000 http://www.medrants.com/?p=5333#comment-531846 Some thoughts: candida esophagitis HIV with CMV or HSV retropharyngeal abscess (from cocaine smoking -- seen this one myself) Some thoughts:
candida esophagitis
HIV with CMV or HSV
retropharyngeal abscess (from cocaine smoking — seen this one myself)

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