WIDI - CB1521-Food Impaction

Food Impaction

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CB1521-Food Impaction

History

14 year old male with chest pain after eating steak.

Exam

FLUORO GI UPPER SERIES W/O KUB. Examination from the mouth/teeth to the ligament of Treitz and proximal jejunum.

Prior Study

None.

Findings

Findings:

Single scout view of the chest shows no lines tubes, or presence of unexpected foreign objects. The visualized bones are normal.

Fluoroscopic examination of the chest shows no pneumonia, atelectasis, or cardiomegaly. The hemidiaphragmatic excursions are equal and synchronous.

The patient was then given 10 mL of barium by mouth. The swallowing act is normal. There is no tracheal aspiration.

There is a filling defect within the mid thoracic esophagus at approximately the T8 level, which causes near complete obstruction. A trace amount of barium extends beyond the obstruction into the distal thoracic esophagus. Underlying pathology such as an esophagus stricture at the level of the foreign body cannot be excluded. At the conclusion of the exam there is a standing column of barium in the upper thoracic esophagus above the level of the high-grade obstruction. There is no extrinsic mass effect. There is no vascular ring.

At the conclusion of the exam there is a standing column of barium in the upper thoracic esophagus above the level of the high-grade obstruction.