The results of a barium esophagram reveal esophageal webbing in a woman with long-standing iron deficiency anemia. Her diagnosis is:
- Barrett's esophagus
- achalasia
- Plummer-Vinson syndrome
- Dressler's syndrome
- Ogilvie's syndrome
Answer: C
Plummer-Vinson syndrome
Plummer-Vinson is something to know for those who want a 100% on the exam. There is no need to memorize this. More importantly, webbing in the distal esophagus with no other symptoms but dysphagia would be a Schatzki's ring (much more common). Barrett's causes GERD symptoms and dysplasia of the esophageal mucosa. Achalasia is a primary neurologic problem of the esophagus causing dysphagia.
Diseases of the esophagus are covered in the NCCPA™ Content Blueprint GI and Nutrition (10%)
Review the PANCE/PANRE diseases of the esophagus which covers esophagitis, motility disorders, Mallory Weiss tears, esophageal neoplasms, esophageal strictures and esophageal varices at Smarty PANCE Diseases of the Esophagus (PEARLS)
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If you are studying for the PANCE or the PANRE I recommend these review books