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Kaplan Qbank USMLE



Author6 Posts
  #1

A seven-month-old female child presented with frequent regurgitation of feeds, recurrent chest infection and failure to thrive for the last four months. The patient was second born full term normally delivered, with a birth weight of 2.8 kg. There was no history of similar complaints in the other sibling. On examination, the patient was febrile, malnourished and pale, and weighed 3.5 kg. Patient's heart rate was 100/min and respiratory rate was 20/min. On chest auscultation, crepitations were heard in the right lower zone.

Abdominal examination was normal. Laboratory investigations revealed a haemoglobin of 9 gm%, total leucocyte count of 25000/mm3 and differential count showed leucocytosis with 80% polymorphs. what's the diagnosis??




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Edited by drpkaur on 07/11/06 - 07:17 PM. Reason: pic added

  #2

Any choices

  #3

if the xray is that of barium swallow then i think its achlasia

  #4

Achalasia

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The Key to Succeed is Patience.

  #5

Agree with Robbin bird beak appearance

  #6

correct it's achalasia cardia...







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