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  #1  
Old 11-05-2012
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GIT Esophageal Disease

Esophageal manometric studies performed on a 38 yo Caucasian male demonstrate periodic, non-peristaltic contractions of a large amplitude and long duration. Clinical manifestations of this patient's condition would most closely mimic which of the following?

A. Esophageal cancer
B. Gastroesophageal reflux disease
C. Duodenal ulcer
D. Angina pectoris
E. Pulmonary infarction
F. Acute cholecystitis
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Old 11-05-2012
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would go with D) angina pectoris----diagnosis is achalasia cardia

thanks
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Old 11-05-2012
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Default d

angina pectoris
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  #4  
Old 11-05-2012
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DD................
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Old 11-05-2012
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Quote:
Originally Posted by abcxyz View Post
Esophageal manometric studies performed on a 38 yo Caucasian male demonstrate periodic, non-peristaltic contractions of a large amplitude and long duration. Clinical manifestations of this patient's condition would most closely mimic which of the following?

A. Esophageal cancer
B. Gastroesophageal reflux disease
C. Duodenal ulcer
D. Angina pectoris
E. Pulmonary infarction
F. Acute cholecystitis
B. Gastroesophageal reflux disease
Other options just don't make sense to me. If there any corelation or its an odd one out question.
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Old 11-05-2012
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Originally Posted by koolkiller88 View Post
B. Gastroesophageal reflux disease
Other options just don't make sense to me. If there any corelation or its an odd one out question.
Oh didn't thought that way
Ya it would be angina pectoris. Thanks fellas
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Old 11-05-2012
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This is a U world question .. Isn't the diagnosis -diffuse esophageal spasm ?? ( which mimics angina ( though not aggravated by exercise or relieved by rest ?)

Achalsia cardia will have peristaltic waves that will propel the food we eat .. The problem is the LES...

Note : the Auerbach plexus in achalsia is absent in the body ( lower part ) of esophagus .. (Not in the LES )...

Felt like adding a point !!
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  #8  
Old 11-06-2012
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Default D

Answer is D - Angina pectoris

@venky2600 - Yes, but it's diffuse esophageal spasm as pointed out by alice.

@alice - Yes, it's from UW.
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Old 11-06-2012
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Quote:
Originally Posted by abcxyz View Post
Esophageal manometric studies performed on a 38 yo Caucasian male demonstrate periodic, non-peristaltic contractions of a large amplitude and long duration. Clinical manifestations of this patient's condition would most closely mimic which of the following?

A. Esophageal cancer
B. Gastroesophageal reflux disease
C. Duodenal ulcer
D. Angina pectoris
E. Pulmonary infarction
F. Acute cholecystitis
d)ANGINA..DIFF.ESO SPASM!thanks for q
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