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  #1  
Old 04-15-2012
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GIT What is the likely cause of this dysphagia?

A 54-year-old man with a history of 2 myocardial infarctions now complains of difficulty swallowing. He describes progressive dysphagia over the past 2 months that started with a little difficulty with low-fat cheese. He was trying to stick with his low carbohydrate and cardiac diet, but sometimes strayed. He noted that while out at restaurants he would initially experience the bread and steak “sticking” in the substernal area and it now involves all foods (even liquids). What is the obvious etiology of his complaints?

A. Distal esophageal ring
B. Esophageal carcinoma
C. Esophageal motility disorder
D. Esophageal stricture
E. Esophageal web
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  #2  
Old 04-15-2012
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C. Esophageal motility disorder
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  #3  
Old 04-15-2012
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Correct answer: distal ring (achalasia)

Dysphagia is progressive and involves solids, gradually followed by liquids.
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Old 04-15-2012
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B. Esophageal carcinoma
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Old 04-15-2012
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Quote:
Originally Posted by dryogi View Post
C. Esophageal motility disorder
please guys post expln along
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Old 04-15-2012
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I am between B and c since both have progressive dysphagia to solid then liquid...since no wt loss or absence of risk factor like alcohol or smoking, Age, gerd i think its C.
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Old 04-15-2012
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its C!!! Esophagial motility disorder

pt has had 2 MI, enlargemnt of Left atrium pressing on esophagus causing the dysphagia!!
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Old 04-15-2012
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Originally Posted by shyangel18 View Post
its C!!! Esophagial motility disorder

pt has had 2 MI, enlargemnt of Left atrium pressing on esophagus causing the dysphagia!!
that should cause mechanical dysphagia...motility prob causes prob in peristalsis like achalasia. correct me please if m wrong.
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Old 04-16-2012
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yes u r right. i dont kno myself. i started my ck prep like 2 weeks ago. so i just make wide blunt guesses. but from wat i see i dont think there cud be anyother reason for his dysphagia.
what resources do u use for these questions, may i ask?
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Old 04-17-2012
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[QUOTE=tyagee;110720]A 54-year-old man with a history of 2 myocardial infarctions now complains of difficulty swallowing. He describes progressive dysphagia over the past 2 months that started with a little difficulty with low-fat cheese. He was trying to stick with his low carbohydrate and cardiac diet, but sometimes strayed. He noted that while out at restaurants he would initially experience the bread and steak “sticking” in the substernal area and it now involves all foods (even liquids). What is the obvious etiology of his complaints?

A. Distal esophageal ring
B. Esophageal carcinoma
C. Esophageal motility disorder
D. Esophageal stricture
E. Esophageal web







i think it's D.progressive dysphagia is feture of stricture(Hx;of monthes to years without obvious wt loss),and melegnancy(Hx of wks to monthes with wt loss).
motility disorder(from begning,theris dysphagia for both solid&liq ocuer simulataneously)
ring&web (not progressive&intermittent).
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  #11  
Old 04-18-2012
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Solids only: Some sort of obstruction
Solids and Liquids: Motility disorder

This from my step 1 prep...I guess it'll really come in handy now
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