Sharply demarcated shallow ulcers in the Esophagus! - USMLE Forums
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Old 06-30-2012
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GIT Sharply demarcated shallow ulcers in the Esophagus!

A 33-year-old boy who is receiving chemotherapy for ALL sees the physician because he has had pain for 1 week when he swallows food. Physical examination shows no abnormal findings. Upper GI endoscopy shows 0.5-0.8-cm mucosal ulcers in the region of the middle to lower esophagus. The shallows ulcers are round, sharply demarcated, and have an erythematous base. Which of the following is most likely to produce these findings?

a) Aphthous ulcerations
b) Herpes simplex esophagotis
c) Gastroesophageal reflux disease
d) Candida esophagitis
e) Mallory-Weiss syndrome
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Old 06-30-2012
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I think the correct answer is B
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Old 06-30-2012
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C or
??B from immunosuppression
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Old 06-30-2012
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A)..?
Associated with chemo..
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Old 06-30-2012
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Its HSV esophagitis. I have it noted down on my goljan. HSV shows punched out ulcers in esophagus. Candida wont present with a visible ulcer, it'll have candidial growth on top(duh! )
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Old 06-30-2012
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Quote:
Originally Posted by MedicalExaminer View Post
I think the correct answer is B

I would go for Herpes simplex esophagitis
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  #7  
Old 06-30-2012
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B......HSV esophaigits
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