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There was this question about a mexican child with ppd of 10. Next step? Do nothing or Do chest xray.
The point is, do u intervene at 10mm or does it have to greater than 10mm for cxr to be done.


There was this question about a guy with Barret's esophagus that had surgery. When do u repeat endoscopy? a. don't repeat b. In 6month c. when symptoms recur.

This was someone's exam q yesterday. So pls I would like to know.

Kaplan, uw and Microbiology made ridiculously simple say greater than 10. I don't why I have 10 or more in my head. Pls who is sure about this?

anyone?

1. do CXR for the kid
2. Barrett's Esophagus without dysplasia -Repeat endoscopy with biopsy in one year
If no dysplasia x2, then endoscopy every 3-5 years
Low grade dysplasia -Repeat endoscopy with biopsy in 6 months
Then repeat upper endoscopy annually
High grade dysplasia-Upper endoscopy every 3 months

ulise the question reads the patient already had undergone the surgery [ read distal esophagestomy]...now what to do?

the protocol that you have given is for barrett's without prior intervention!

can you give in some info on that aspect?

thanks

barrets after surgery no need for endo further only ppi

any ref for that dubu?

I definately think its greater than or equal to 10 mm so will do CXR.
No idea abt the second question.

But i think the answer shd be do endoscopy if symptoms recur cus after surgery its like previous stage.