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Pathology 16

A 17-year-old girl presents to the clinic with a complaint of difficulty swallowing for the past two weeks. She describes occasional episodes where “food seems to stick in my throat.” This mostly occurs with solid foods, and it is sometimes associated with vomiting and abdominal pain. She does not experience urticaria or dyspnea during these episodes. She denies heartburn, hematemesis, and weight loss, and she has no history of psychiatric illness. Her past medical history includes a history of asthma and allergies to tree nuts and shellfish. She does not use alcohol or other drugs. Her medications include albuterol, an oral contraceptive and an epinephrine auto-injector. Physical examination is unremarkable. She is referred to a gastroenterologist who recommends an upper endoscopy.

Which of the following findings will most likely be found upon endoscopy?

  • A) Esophageal varices
  • B) Esophageal webs
  • C) Intestinal metaplasia
  • D) Linear furrows
  • E) Punched-out ulcers


John Damianos

Dr. Ted O'Connell


Dr. Ted O'Connell