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10 Cards in this Set
- Front
- Back
Key History -
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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 |
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Key PE -
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VS
head and neck exam heart, lung and abdom exams skin exam |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |