0
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.19.47.197. Please contact the publisher to request reinstatement.
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Problem Solving: Pathology |

Pathology Quiz Case 3

Kara S. Davis, MD; Cynthia T. Welsh, MD; Robert H. Hawes, MD; M. Boyd Gillespie, MD
Arch Otolaryngol Head Neck Surg. 2011;137(8):831. doi:10.1001/archoto.2011.128-a.
Text Size: A A A
Published online

Extract

A 38-year-old woman presented with a several-year history of recurrent sore throat, globus sensation, mild dysphagia and hoarseness, increased phlegm, and loud snoring. She underwent a tonsillectomy as a child but in the last few years had experienced 3 to 4 episodes of recurrent pharyngitis each year that required treatment with antibiotics and/or oral steroids. Physical examination revealed erythematous streaks and cobblestoning of the posterior pharyngeal wall. On fiberoptic examination, the patient was found to have large lingual tonsils filling the vallecula and significant erythema and edema of the arytenoid cartilages. Omeprazole therapy (40 mg twice a day 30 minutes before meals) was initiated for presumed laryngopharyngeal reflux disease. Because of persistent symptoms 12 weeks later, the patient was started on a 300-mg bedtime dose of ranitidine and scheduled for esophagoscopy. Esophagoscopy failed to show Barrett esophagus (BE) or reflux-related esophagitis. Examination of the esophagus with white-light and narrow-band imaging revealed 3 areas of columnar epithelium just distal to the cricopharyngeus (Figure 1).

Figures in this Article

Topics

pathology

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2.

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

37 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Patient With Headache Have a Migraine or Need Neuroimaging?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Patient With Headache Have a Migraine or Need Neuroimaging?

brightcove.createExperiences();