USMLE Forum Archives - USMLE Step 2 CK - int med 56
int med 56
bingousmle - 09-30-10 20:05
A 45-year-old male says that for the last year he occasionally has regurgitated particles from food eaten several days earlier. His wife complains that his breath has been foul-smelling. He has had occasional dysphagia for solid foods. The most likely diagnosis is
A. gastric outlet obstruction
B. scleroderma
C. achalasia
D. Zenker’s diverticulum
E. diabetic gastroparesis
bingousmle - 09-30-10 20:05
A 45-year-old male says that for the last year he occasionally has regurgitated particles from food eaten several days earlier. His wife complains that his breath has been foul-smelling. He has had occasional dysphagia for solid foods. The most likely diagnosis is
A. gastric outlet obstruction
B. scleroderma
C. achalasia
D. Zenker’s diverticulum
E. diabetic gastroparesis
The correct answer and explanation will be available after you answer.
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#7
Re: int med 56 babbu5508 - 10-24-10 06:53 My answer is: c.
C. achalasia cardia....clues are regurgitated particles from food eaten several days earlier. His wife complains that his breath has been foul-smelling. He has had occasional dysphagia for solid foods.
#11
Re: int med 56 sudha2015 - 03-28-11 00:51 last year he occasionally has regurgitated particles from food eaten several days earlier. His wife complains that his breath has been foul-smelling. He has had occasional dysphagia for solid foods. The most likely diagnosis is
D
#12
Re: int med 56 babbu5508 - 03-31-11 19:24 A simple barium swallow will normally reveal the diverticulum. Endoscopy should not be performed due to the risk of perforating the diverticulum.
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