Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Gastroenterology


Answer 2
  1. Esophageal biopsy. The patient’s esophagus should be biopsied to confirm the suspected diagnosis of eosinophilic esophagitis. A high concentration (< 15-20) of eosinophils per high-power field is characteristic of eosinophilic esophagitis.1 Observation alone would be inadequate given this patient’s ongoing symptoms. There is no mechanical obstruction and therefore dilation would not be helpful. PPI therapy could be started, but the underlying disease process is not due to acid exposure. Fluconazole is a treatment for candidiasis, which this patient does not appear to have.

    REFERENCES
    1. Baxi S, Gupta SK, Swigonski N, Fitzgerald JF. Clinical presentation of patients with eosinophilic inflammation of the esophagus. Gastrointest Endosc 2006;64:473–8.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 8/25/08 • nvf