dev
Forum Guru
Topics: 70
Posts: 1,794
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hi guys
40 yr male pt-mod-severe chest pain occuring after meals.not radiating .relieved by antaacids.and aggravated by reclining.pt c/o wt lossof 10pounds in 5months.2pack/day-smoking h/o.vitals stable.P.E unremarkable.chest xray,echo,ECG-normal.appropraite next step in this pt.
1-famotidine
2-anatcids
3-omeprazole.
4-esophagoscopy
5-ph monitoring
please explain :?: :idea: .its soo confusing :evil:
bye
dev
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| bose
Forum Senior
Topics: 33
Posts: 162
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I think its 4.. Esophagoscopy. This pt has clearly signs of Adenocarcinoma of Esophagus. If barium swallow was an option, I would pick it. Eventually everybody needs an Endoscopy. Hope I'm right.
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| marcousmle
Forum Newbie
Topics: 2
Posts: 8
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i think is 4.
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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answer is 4.but it says atypical presentation of GERD :cry:
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| nafisa
Forum Newbie
Topics: 4
Posts: 19
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its barretts esophagus complication of gerd, causing adenocarcinoma.
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xx
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