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10 Cards in this Set

  • Front
  • Back
Key History -
Solids vs. solids & liquids,
progressive

constitutional Sxs -
esp. weight loss

drooling
regurgitation
odynophagia
GERD Sxs
meds
HIV risk factors
h/o smoking
h/o Raynaud's phenomenon
Key PE -
VS
head and neck exam
heart, lung and abdom exams
skin exam
75 y/o M
dysphagia started with solids and progressed to liquids.
Alcoholic and heavy smoker.
Unintentional weight loss of 7 kg over the past 4 months.

What is Differential?
Esophageal cancer
achalasia
esophagitis
systemic sclerosis
esophageal stricture
ALS
75 y/o M
dysphagia started with solids and progressed to liquids.
Alcoholic and heavy smoker.
Unintentional weight loss of 7 kg over the past 4 months.

What is Workup?
CBC
CXR
endoscopy with Bx
barium swallow
CT - chest
45 y/o F
dysphagia for 2 weeks together with fatigue and a craving for ice and clay.

What is Differential?
Plummer-Vinson syndrome
esophageal cancer
esophagitis
achalasia
systemic sclerosis
mitral valve stenosis
45 y/o F
dysphagia for 2 weeks together with fatigue and a craving for ice and clay.

What is Workup?
CBC
serum iron, ferritin, TIBC
barium swallow
endoscopy
48 y/o F
dysphagia for both solid and liquids.
It has slowly progressed in severity over the past year.
Regurgitation of undigested food, especially at night.

What is Differential?
Achalasia
Plummer-Vinson syndrome
esophageal cancer
esophagitis
systemic sclerosis
mitral valve stenosis
esophageal stricture
Zenker's diverticulum
48 y/o F
dysphagia for both solid and liquids.
It has slowly progressed in severity over the past year.
Regurgitation of undigested food, especially at night.

What is Workup?
CXR
endoscopy
barium swallow
esophageal manometry
38 y/o M
dysphagia and pain on swallowing solids more than liquids.
Exam reveals oral thrush.

What is Differential?
Esophagitis
systemic sclerosis
GERD
esophageal stricture
Zenker's diverticulum
38 y/o M
dysphagia and pain on swallowing solids more than liquids.
Exam reveals oral thrush.

What is Workup?
CBC
endoscopy
barium swallow
HIV antibody
CD4 count