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Esophagus 12 of 35

What is primary peristalsis?

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Designed for the way residents actually study.

Between rounds, cases, call shifts, and everything else, finding time to study isn’t easy. Your study tools should make that time count.

A better way to learn surgical concepts

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    Focused questions covering important surgical concepts.

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    Retest missed concepts with a different version of the question.

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    Find organized explanations of surgical concepts with supporting references.

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Esophagus Tutor mode Question 1 of 3

An 82-year-old man has progressive dysphagia, halitosis, regurgitation of undigested food, and a recent aspiration pneumonia. What is the next best step?

Key takeaway

Dysphagia starts with a contrast esophagram. A Zenker diverticulum is then repaired with a cricopharyngeal myotomy.

After an esophagectomy, a patient has high chest-tube output. Pleural fluid triglycerides are 150 mg/dL. What is the next step?

Key takeaway

After esophagectomy, high chest-tube output with pleural triglycerides above 110 mg/dL is a chyle leak: stop enteral feeds, start TPN, and escalate only if it persists.

Routine surveillance endoscopy in a patient with Barrett esophagus shows high-grade dysplasia. What is the next step?

Key takeaway

High-grade dysplasia in Barrett esophagus: confirm it first, then treat it endoscopically, with EMR for visible lesions and RFA for flat dysplasia.

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Because every question has 2 variants: new vignettes on the same idea.

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Suspected perforation: which study first?
  1. QuestionNeck crepitus after a stricture is dilated.
  2. Variant 1Chest pain and fever after forceful vomiting.
  3. Variant 2Neck air after a fish bone is removed.

All three: a water-soluble contrast esophagram first.

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Today’s cards are built for 5 to 10 minutes at a time. You choose how many questions go in a block.

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