Pediatric emergency medicine trisk 1110 1110
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Mycostatin will be helpful in candidal esophagitis, whereas herpetic esophagitis
often is self-limiting.
FIGURE 56.3 Upper gastrointestinal (UGI) series of a 14-year-old girl presenting with
dysphagia. The UGI demonstrates a significantly dilated upper esophagus, with a functional
spasmodic obstruction of the lower esophagus, characteristic of achalasia.
Pediatric dysphagia is an uncommon complaint in the pediatric emergency
department but may be the presenting symptom for a wide variety of underlying
clinical problems. The history and physical examination first must focus on
potentially life-threatening causes and will often lead to a specific diagnosis.
