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4 Cards in this Set

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75 yo M presents with dysphagia that started with solids and progressed to liquids. He is an alcoholic and a heavy smoker. He has had an unintentional weight loss of 7 kig over the past four months.
Esophageal cancer
Achalasia
Esophagitis
Systemic sclerosis
Esophageal stricture
Amyotrophic lateral sclerosis
CBC
CXR
Endoscopy with biopsy
Barium swallow
CT--chest
45 yo F presents with dysphagia for two weeks together with fatigue and a craving for ice and clay.
Plummer-Vinson syndrome
Esophageal cancer
Esophagitis
Achalasia
Systemic sclerosis
Mitral valve stenosis
CBC
Serum iron, ferritin, TIBC
Barium swallow
Endoscopy
48 yo F presents with dysphagia for both solid and liquid foods that has slowly progressed in severity over the past year. It is associated with regurgitation of undigested food, especially at night.
Achalasia
Plummer-Vinson syndrome
Esophageal cancer
Esophagitis
Systemic sclerosis
Mitral valve stenosis
Esophageal stricture
Zenker's diverticulum
CXR
Endoscopy
Barium swallow
Esophageal manometry
38 yo M presents with dysphagia and pain on swallowing solids more than liquids. Exam reveals oral thrush.
Esophagitis (CMV, HSV, pill-induced)
Systemic sclerosis
GERD
Esophageal stricture
Zenker's diverticulum
CBC
Endoscopy
Barium swallow
HIV antibody
CD4 count