q 1 - waynerooney

[ArchivalUser]

yea........if its proximal lesion then always better to do a barium as proximal part of intubation is blindly done........so risk of perforation is high...........so if suspecting adenocarcinoma i think direct endoscopy wud be good.......but if sq cell ca then barium 1st.........i think wud be barium 1st if obstructive signs due to tumor.......

always safe to do barium 1st......if obstructive signs.........but other danger signs then can procede with endoscopy directly i think......like severe anorexia, hemtemesis, vomiting

[ArchivalUser]

thanx!
i had studied in my medical school that doing barium studies first is safer. but step 2 surgery video says endoscopy direct if u suspect obstruction.
may b i'll go for endoscopy directly( i mean in the exam)!

[ArchivalUser]

1-Dysphagia for liquids: always motility disorder
2-History of GERD
3-weight loss
I think this is Barret Esophagus
The next best step would be endoscopy with biopsy
The initial test would be barium enema to rule out achalasia
I am waiting for your coment

[ArchivalUser]

1- Dysphagia for liquids : always motility disorder
2- History of GERD
3-Weight loss
Barret's Esophagus would be the dx
The next best step in management would be endoscopy with biopsy

[ArchivalUser]

good question...thanks